| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,747 |
1,730 |
$246K |
| E0114 |
Crutch underarm pair no wood |
1,851 |
1,833 |
$61K |
| A7030 |
Cpap full face mask |
431 |
424 |
$54K |
| A4604 |
Tubing with heating element |
1,288 |
1,268 |
$54K |
| A7034 |
Nasal application device |
524 |
516 |
$42K |
| A7035 |
Pos airway press headgear |
1,320 |
1,306 |
$37K |
| E0562 |
Humidifier heated used w pap |
114 |
114 |
$22K |
| A7032 |
Replacement nasal cushion |
273 |
270 |
$16K |
| E1390 |
Oxygen concentrator |
83 |
83 |
$14K |
| A7038 |
Pos airway pressure filter |
2,172 |
2,143 |
$14K |
| A7046 |
Repl water chamber, pap dev |
792 |
782 |
$13K |
| E0143 |
Walker folding wheeled w/o s |
124 |
123 |
$10K |
| A7031 |
Replacement facemask interfa |
85 |
83 |
$4K |
| E0570 |
Nebulizer with compression |
30 |
27 |
$3K |
| E0431 |
Portable gaseous 02 |
83 |
83 |
$2K |
| A7005 |
Nondisposable nebulizer set |
32 |
28 |
$712.89 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$464.63 |
| A7015 |
Aerosol mask used w nebulize |
32 |
28 |
$49.02 |