| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
8,026 |
7,228 |
$468K |
| A7030 |
Cpap full face mask |
3,172 |
2,921 |
$309K |
| A7034 |
Nasal application device |
3,390 |
3,169 |
$230K |
| E0562 |
Humidifier heated used w pap |
2,782 |
2,411 |
$223K |
| A4604 |
Tubing with heating element |
5,986 |
5,430 |
$222K |
| E1390 |
Oxygen concentrator |
2,212 |
1,903 |
$205K |
| E0470 |
Rad w/o backup non-inv intfc |
1,025 |
918 |
$123K |
| A7031 |
Replacement facemask interfa |
3,425 |
2,998 |
$111K |
| A7035 |
Pos airway press headgear |
4,507 |
4,170 |
$96K |
| A7032 |
Replacement nasal cushion |
2,521 |
2,261 |
$71K |
| A7046 |
Repl water chamber, pap dev |
2,901 |
2,679 |
$32K |
| A7038 |
Pos airway pressure filter |
7,548 |
7,028 |
$28K |
| E0143 |
Walker folding wheeled w/o s |
191 |
186 |
$15K |
| E1392 |
Portable oxygen concentrator |
558 |
492 |
$13K |
| A7033 |
Replacement nasal pillows |
489 |
446 |
$12K |
| A7039 |
Filter, non disposable w pap |
1,778 |
1,644 |
$12K |
| K0001 |
Standard wheelchair |
80 |
77 |
$5K |
| E0471 |
Rad w/backup non inv intrfc |
12 |
12 |
$4K |
| A7037 |
Pos airway pressure tubing |
63 |
55 |
$1K |