| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,279 |
1,002 |
$34K |
| E1390 |
Oxygen concentrator |
662 |
536 |
$27K |
| E0562 |
Humidifier heated used w pap |
1,609 |
1,265 |
$14K |
| A7030 |
Cpap full face mask |
173 |
122 |
$11K |
| A7035 |
Pos airway press headgear |
634 |
487 |
$10K |
| A7037 |
Pos airway pressure tubing |
386 |
299 |
$7K |
| A7031 |
Replacement facemask interfa |
210 |
150 |
$5K |
| A7034 |
Nasal application device |
126 |
92 |
$5K |
| A7038 |
Pos airway pressure filter |
1,091 |
766 |
$4K |
| E0431 |
Portable gaseous 02 |
115 |
97 |
$2K |
| A7046 |
Repl water chamber, pap dev |
215 |
157 |
$2K |
| K0001 |
Standard wheelchair |
124 |
106 |
$1K |
| A7032 |
Replacement nasal cushion |
51 |
39 |
$890.03 |
| E0570 |
Nebulizer with compression |
14 |
12 |
$237.70 |