| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,442 |
3,439 |
$171K |
| E1390 |
Oxygen concentrator |
1,613 |
1,591 |
$80K |
| E0562 |
Humidifier heated used w pap |
1,868 |
1,865 |
$37K |
| A7030 |
Cpap full face mask |
652 |
651 |
$37K |
| A7034 |
Nasal application device |
738 |
736 |
$23K |
| A7031 |
Replacement facemask interfa |
479 |
479 |
$22K |
| A7035 |
Pos airway press headgear |
1,210 |
1,205 |
$13K |
| A7037 |
Pos airway pressure tubing |
546 |
544 |
$7K |
| A7038 |
Pos airway pressure filter |
2,702 |
2,437 |
$7K |
| A4604 |
Tubing with heating element |
605 |
604 |
$4K |
| E0570 |
Nebulizer with compression |
28 |
28 |
$2K |
| E0431 |
Portable gaseous 02 |
137 |
137 |
$1K |
| A7032 |
Replacement nasal cushion |
26 |
26 |
$1K |
| E0255 |
Hospital bed var ht w/ mattr |
118 |
117 |
$817.29 |
| K0001 |
Standard wheelchair |
120 |
120 |
$714.64 |
| E1392 |
Portable oxygen concentrator |
36 |
36 |
$502.29 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$383.20 |
| A7046 |
Repl water chamber, pap dev |
37 |
37 |
$67.84 |