| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,032 |
2,546 |
$167K |
| E1390 |
Oxygen concentrator |
2,877 |
1,872 |
$102K |
| A7032 |
Replacement nasal cushion |
2,213 |
1,899 |
$96K |
| A7034 |
Nasal application device |
1,837 |
1,527 |
$95K |
| A4604 |
Tubing with heating element |
2,462 |
2,004 |
$69K |
| E0570 |
Nebulizer with compression |
2,913 |
2,106 |
$69K |
| A7031 |
Replacement facemask interfa |
1,628 |
1,413 |
$62K |
| A7030 |
Cpap full face mask |
577 |
483 |
$47K |
| E0562 |
Humidifier heated used w pap |
1,584 |
1,450 |
$39K |
| A7038 |
Pos airway pressure filter |
5,178 |
4,495 |
$30K |
| A7035 |
Pos airway press headgear |
1,623 |
1,345 |
$28K |
| A7033 |
Replacement nasal pillows |
695 |
650 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,284 |
889 |
$18K |
| K0001 |
Standard wheelchair |
1,254 |
771 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,059 |
889 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
364 |
168 |
$7K |
| A7003 |
Nebulizer administration set |
279 |
241 |
$707.89 |
| A7015 |
Aerosol mask used w nebulize |
162 |
141 |
$190.43 |
| A7013 |
Disposable compressor filter |
60 |
52 |
$63.26 |