| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult size brief/diaper lg |
2,167 |
2,092 |
$367K |
| E0601 |
Cont airway pressure device |
2,257 |
2,172 |
$158K |
| A7031 |
Replacement facemask interfa |
3,024 |
2,944 |
$102K |
| A7030 |
Cpap full face mask |
708 |
689 |
$68K |
| E0570 |
Nebulizer with compression |
1,468 |
1,408 |
$65K |
| T4524 |
Adult size brief/diaper xl |
276 |
271 |
$43K |
| T4533 |
Youth size brief/diaper |
286 |
278 |
$35K |
| A7035 |
Pos airway press headgear |
1,471 |
1,432 |
$31K |
| A7038 |
Pos airway pressure filter |
4,094 |
3,990 |
$22K |
| E0470 |
Rad w/o backup non-inv intfc |
142 |
126 |
$21K |
| A7032 |
Replacement nasal cushion |
503 |
486 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,385 |
1,349 |
$7K |
| E0562 |
Humidifier heated used w pap |
41 |
38 |
$5K |
| A7046 |
Repl water chamber, pap dev |
446 |
438 |
$4K |
| A7034 |
Nasal application device |
62 |
62 |
$3K |
| E1390 |
Oxygen concentrator |
37 |
25 |
$2K |
| A7003 |
Nebulizer administration set |
379 |
372 |
$941.90 |
| E0431 |
Portable gaseous 02 |
16 |
12 |
$375.88 |