| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,791 |
6,443 |
$170K |
| A7030 |
Cpap full face mask |
2,676 |
2,142 |
$120K |
| E1390 |
Oxygen concentrator |
3,046 |
2,631 |
$93K |
| A7034 |
Nasal application device |
2,177 |
1,755 |
$71K |
| A7031 |
Replacement facemask interfa |
3,402 |
2,730 |
$63K |
| E0562 |
Humidifier heated used w pap |
1,161 |
850 |
$35K |
| A7032 |
Replacement nasal cushion |
1,825 |
1,416 |
$30K |
| A7038 |
Pos airway pressure filter |
8,857 |
6,701 |
$26K |
| A7037 |
Pos airway pressure tubing |
1,730 |
1,515 |
$24K |
| A7035 |
Pos airway press headgear |
3,387 |
2,707 |
$20K |
| A7033 |
Replacement nasal pillows |
1,141 |
858 |
$18K |
| A4604 |
Tubing with heating element |
3,585 |
2,759 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
294 |
269 |
$9K |
| A7028 |
Repl oral cushion combo mask |
176 |
157 |
$7K |
| E1392 |
Portable oxygen concentrator |
2,163 |
1,859 |
$5K |
| A7039 |
Filter, non disposable w pap |
2,599 |
2,049 |
$5K |
| E0570 |
Nebulizer with compression |
1,468 |
1,376 |
$5K |
| A7027 |
Combination oral/nasal mask |
109 |
98 |
$4K |
| A7029 |
Repl nasal pillow comb mask |
111 |
98 |
$2K |
| A7046 |
Repl water chamber, pap dev |
326 |
247 |
$1K |
| E0431 |
Portable gaseous 02 |
143 |
139 |
$1K |
| A7036 |
Pos airway press chinstrap |
94 |
69 |
$409.27 |
| E0163 |
Commode chair with fixed arm |
18 |
12 |
$295.82 |
| A7003 |
Nebulizer administration set |
46 |
40 |
$29.18 |
| A7013 |
Disposable compressor filter |
30 |
26 |
$3.01 |
| A7015 |
Aerosol mask used w nebulize |
25 |
25 |
$2.08 |