| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,956 |
3,777 |
$170K |
| A7031 |
Replacement facemask interfa |
465 |
459 |
$17K |
| E0431 |
Portable gaseous 02 |
2,057 |
1,988 |
$16K |
| E0601 |
Cont airway pressure device |
446 |
434 |
$14K |
| E0562 |
Humidifier heated used w pap |
897 |
870 |
$10K |
| A7030 |
Cpap full face mask |
147 |
145 |
$7K |
| E0570 |
Nebulizer with compression |
615 |
606 |
$6K |
| A7038 |
Pos airway pressure filter |
885 |
872 |
$4K |
| A7037 |
Pos airway pressure tubing |
390 |
387 |
$4K |
| A7035 |
Pos airway press headgear |
93 |
92 |
$1K |
| A7046 |
Repl water chamber, pap dev |
14 |
14 |
$70.29 |