| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,965 |
1,875 |
$153K |
| A7037 |
Pos airway pressure tubing |
540 |
520 |
$17K |
| A7031 |
Replacement facemask interfa |
222 |
202 |
$15K |
| A7034 |
Nasal application device |
91 |
88 |
$10K |
| A7030 |
Cpap full face mask |
54 |
52 |
$8K |
| A7035 |
Pos airway press headgear |
225 |
216 |
$8K |
| K0001 |
Standard wheelchair |
188 |
161 |
$7K |
| A7038 |
Pos airway pressure filter |
956 |
900 |
$7K |
| E0562 |
Humidifier heated used w pap |
115 |
110 |
$6K |
| A7032 |
Replacement nasal cushion |
79 |
78 |
$5K |
| A7033 |
Replacement nasal pillows |
53 |
51 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
14 |
12 |
$1K |
| A7046 |
Repl water chamber, pap dev |
13 |
13 |
$272.45 |