| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,438 |
1,285 |
$44K |
| A4604 |
Tubing with heating element |
1,123 |
1,001 |
$38K |
| A7031 |
Replacement facemask interfa |
1,003 |
891 |
$36K |
| A7035 |
Pos airway press headgear |
789 |
721 |
$16K |
| A7030 |
Cpap full face mask |
124 |
119 |
$12K |
| E0562 |
Humidifier heated used w pap |
305 |
252 |
$8K |
| K0001 |
Standard wheelchair |
370 |
323 |
$7K |
| A7038 |
Pos airway pressure filter |
2,631 |
2,314 |
$7K |
| E0570 |
Nebulizer with compression |
734 |
662 |
$6K |
| A7032 |
Replacement nasal cushion |
270 |
245 |
$5K |
| A7046 |
Repl water chamber, pap dev |
458 |
418 |
$4K |
| A7039 |
Filter, non disposable w pap |
620 |
564 |
$4K |
| A7034 |
Nasal application device |
68 |
56 |
$3K |
| A4670 |
Automatic bp monitor, dial |
30 |
30 |
$2K |
| A7037 |
Pos airway pressure tubing |
50 |
48 |
$771.45 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$665.66 |
| E1390 |
Oxygen concentrator |
12 |
12 |
$408.09 |
| E1392 |
Portable oxygen concentrator |
13 |
12 |
$64.16 |