| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,853 |
3,721 |
$155K |
| A7030 |
Cpap full face mask |
1,352 |
1,303 |
$105K |
| K0003 |
Lightweight wheelchair |
1,676 |
1,595 |
$59K |
| A7032 |
Replacement nasal cushion |
906 |
852 |
$53K |
| E0562 |
Humidifier heated used w pap |
1,264 |
1,190 |
$53K |
| A7034 |
Nasal application device |
1,650 |
1,569 |
$45K |
| A7031 |
Replacement facemask interfa |
1,185 |
1,134 |
$42K |
| A4604 |
Tubing with heating element |
2,115 |
2,029 |
$41K |
| A7035 |
Pos airway press headgear |
3,017 |
2,890 |
$28K |
| A7038 |
Pos airway pressure filter |
3,136 |
2,946 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
257 |
250 |
$14K |
| K0195 |
Elevating whlchair leg rests |
1,013 |
937 |
$11K |
| A7033 |
Replacement nasal pillows |
362 |
340 |
$11K |
| E0973 |
W/ch access det adj armrest |
187 |
89 |
$8K |
| A7037 |
Pos airway pressure tubing |
849 |
792 |
$5K |
| E2611 |
Gen use back cush wdth <22in |
70 |
61 |
$4K |
| E0163 |
Commode chair with fixed arm |
66 |
65 |
$2K |
| E2228 |
Mwc acc, wheelchair brake |
39 |
28 |
$2K |
| A7046 |
Repl water chamber, pap dev |
342 |
330 |
$2K |
| A7036 |
Pos airway press chinstrap |
232 |
221 |
$1K |
| E2601 |
Gen w/c cushion wdth < 22 in |
69 |
59 |
$1K |
| E0561 |
Humidifier nonheated w pap |
145 |
143 |
$668.70 |
| E0143 |
Walker folding wheeled w/o s |
16 |
14 |
$558.78 |
| E0971 |
Wheelchair anti-tipping devi |
19 |
15 |
$282.72 |
| A9279 |
Monitoring feature/devicenoc |
161 |
154 |
$189.00 |
| E0961 |
Wheelchair brake extension |
17 |
14 |
$171.46 |
| E0978 |
W/c acc,saf belt pelv strap |
19 |
15 |
$155.02 |
| E0167 |
Commode chair pail or pan |
27 |
27 |
$0.00 |