| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,749 |
3,628 |
$192K |
| E0562 |
Humidifier heated used w pap |
3,585 |
3,449 |
$53K |
| K0001 |
Standard wheelchair |
2,313 |
2,259 |
$32K |
| A7034 |
Nasal application device |
690 |
690 |
$24K |
| A7035 |
Pos airway press headgear |
1,147 |
1,144 |
$21K |
| T4541 |
Large disposable underpad |
453 |
450 |
$18K |
| A7030 |
Cpap full face mask |
177 |
176 |
$13K |
| A7037 |
Pos airway pressure tubing |
1,335 |
1,331 |
$13K |
| A7038 |
Pos airway pressure filter |
1,423 |
1,420 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
482 |
463 |
$10K |
| A7032 |
Replacement nasal cushion |
219 |
219 |
$10K |
| E1390 |
Oxygen concentrator |
96 |
93 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
264 |
254 |
$7K |
| A7039 |
Filter, non disposable w pap |
1,144 |
1,143 |
$6K |
| A7031 |
Replacement facemask interfa |
164 |
164 |
$5K |
| T4526 |
Adult size pull-on med |
118 |
115 |
$5K |
| E0570 |
Nebulizer with compression |
67 |
67 |
$4K |
| E0431 |
Portable gaseous 02 |
93 |
90 |
$1K |
| E1038 |
Transport chair pt wt<=300lb |
197 |
196 |
$1K |
| A4604 |
Tubing with heating element |
39 |
39 |
$1K |
| A7033 |
Replacement nasal pillows |
42 |
42 |
$958.12 |
| E0156 |
Walker seat attachment |
129 |
128 |
$781.08 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$235.61 |
| A7015 |
Aerosol mask used w nebulize |
38 |
38 |
$33.32 |