| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
610 |
562 |
$24K |
| E1390 |
Oxygen concentrator |
470 |
424 |
$22K |
| A7030 |
Cpap full face mask |
170 |
151 |
$11K |
| E0562 |
Humidifier heated used w pap |
649 |
593 |
$9K |
| E1392 |
Portable oxygen concentrator |
243 |
220 |
$5K |
| A7031 |
Replacement facemask interfa |
96 |
86 |
$3K |
| E0570 |
Nebulizer with compression |
419 |
354 |
$2K |
| A7035 |
Pos airway press headgear |
133 |
115 |
$2K |
| A7037 |
Pos airway pressure tubing |
173 |
153 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
46 |
39 |
$2K |
| A7039 |
Filter, non disposable w pap |
14 |
12 |
$67.57 |
| A7038 |
Pos airway pressure filter |
16 |
14 |
$43.67 |