| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
12,368 |
8,207 |
$260K |
| A7030 |
Cpap full face mask |
4,441 |
3,935 |
$221K |
| A7034 |
Nasal application device |
3,347 |
3,004 |
$113K |
| A7031 |
Replacement facemask interfa |
5,103 |
4,513 |
$97K |
| A4604 |
Tubing with heating element |
3,183 |
2,841 |
$83K |
| E0562 |
Humidifier heated used w pap |
14,327 |
9,507 |
$77K |
| A7035 |
Pos airway press headgear |
6,146 |
5,496 |
$74K |
| A7037 |
Pos airway pressure tubing |
5,811 |
5,257 |
$44K |
| A7032 |
Replacement nasal cushion |
2,654 |
2,359 |
$38K |
| A7046 |
Repl water chamber, pap dev |
4,333 |
3,950 |
$35K |
| A7038 |
Pos airway pressure filter |
15,891 |
14,211 |
$25K |
| A7033 |
Replacement nasal pillows |
1,055 |
946 |
$13K |
| K0001 |
Standard wheelchair |
1,357 |
904 |
$10K |
| E0143 |
Walker folding wheeled w/o s |
210 |
195 |
$6K |
| E0570 |
Nebulizer with compression |
42 |
39 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
72 |
51 |
$2K |
| A7039 |
Filter, non disposable w pap |
68 |
59 |
$320.40 |
| K0195 |
Elevating whlchair leg rests |
143 |
94 |
$280.15 |