| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,812 |
1,807 |
$161K |
| E0601 |
Cont airway pressure device |
1,637 |
1,624 |
$78K |
| E0570 |
Nebulizer with compression |
598 |
593 |
$24K |
| E0431 |
Portable gaseous 02 |
1,336 |
1,334 |
$22K |
| A7030 |
Cpap full face mask |
54 |
52 |
$4K |
| A7035 |
Pos airway press headgear |
69 |
65 |
$1K |
| A7005 |
Nondisposable nebulizer set |
59 |
59 |
$884.88 |
| A7038 |
Pos airway pressure filter |
99 |
95 |
$706.45 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$534.85 |
| A7037 |
Pos airway pressure tubing |
25 |
25 |
$449.86 |
| A7003 |
Nebulizer administration set |
61 |
61 |
$38.84 |
| A7013 |
Disposable compressor filter |
40 |
40 |
$20.12 |