| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,285 |
1,973 |
$68K |
| E0562 |
Humidifier heated used w pap |
2,585 |
2,222 |
$22K |
| E1390 |
Oxygen concentrator |
593 |
482 |
$18K |
| E0570 |
Nebulizer with compression |
625 |
512 |
$15K |
| A7031 |
Replacement facemask interfa |
296 |
271 |
$7K |
| A7030 |
Cpap full face mask |
30 |
28 |
$2K |
| A7038 |
Pos airway pressure filter |
617 |
568 |
$2K |
| A7035 |
Pos airway press headgear |
98 |
91 |
$1K |
| K0001 |
Standard wheelchair |
82 |
66 |
$1K |
| A7037 |
Pos airway pressure tubing |
100 |
93 |
$884.21 |
| A7039 |
Filter, non disposable w pap |
50 |
46 |
$231.38 |
| E0431 |
Portable gaseous 02 |
29 |
24 |
$199.55 |
| A4253 |
Blood glucose/reagent strips |
15 |
13 |
$43.25 |