| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,604 |
1,589 |
$115K |
| A7030 |
Cpap full face mask |
1,043 |
1,024 |
$87K |
| E1390 |
Oxygen concentrator |
323 |
316 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,248 |
1,229 |
$32K |
| A7037 |
Pos airway pressure tubing |
1,820 |
1,791 |
$30K |
| A7034 |
Nasal application device |
400 |
394 |
$23K |
| A7035 |
Pos airway press headgear |
985 |
960 |
$14K |
| E0570 |
Nebulizer with compression |
96 |
93 |
$9K |
| A7038 |
Pos airway pressure filter |
1,841 |
1,798 |
$8K |
| A7039 |
Filter, non disposable w pap |
763 |
750 |
$4K |
| A4627 |
Spacer bag/reservoir |
168 |
165 |
$3K |
| S8101 |
Spacer with mask |
168 |
165 |
$3K |
| A7005 |
Nondisposable nebulizer set |
103 |
100 |
$2K |
| E0431 |
Portable gaseous 02 |
36 |
36 |
$728.56 |
| A7031 |
Replacement facemask interfa |
26 |
19 |
$652.92 |
| A4617 |
Mouth piece |
97 |
94 |
$242.97 |
| A7015 |
Aerosol mask used w nebulize |
103 |
100 |
$116.17 |
| A7013 |
Disposable compressor filter |
97 |
94 |
$48.99 |