| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,603 |
2,301 |
$227K |
| E0601 |
Cont airway pressure device |
1,343 |
1,130 |
$117K |
| A7031 |
Replacement facemask interfa |
1,009 |
893 |
$47K |
| K0738 |
Portable gas oxygen system |
1,728 |
1,566 |
$43K |
| A7030 |
Cpap full face mask |
269 |
221 |
$24K |
| A7035 |
Pos airway press headgear |
1,081 |
902 |
$23K |
| A7038 |
Pos airway pressure filter |
2,418 |
2,084 |
$18K |
| E0562 |
Humidifier heated used w pap |
130 |
103 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,269 |
1,075 |
$8K |
| E0431 |
Portable gaseous 02 |
266 |
259 |
$6K |
| A7046 |
Repl water chamber, pap dev |
539 |
438 |
$5K |
| E0445 |
Oximeter non-invasive |
15 |
12 |
$4K |
| A7034 |
Nasal application device |
44 |
37 |
$2K |
| E0570 |
Nebulizer with compression |
58 |
49 |
$1K |
| A7032 |
Replacement nasal cushion |
24 |
24 |
$861.84 |