| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,593 |
1,173 |
$71K |
| A7030 |
Cpap full face mask |
492 |
362 |
$27K |
| E1390 |
Oxygen concentrator |
570 |
465 |
$18K |
| A7031 |
Replacement facemask interfa |
608 |
415 |
$11K |
| A7035 |
Pos airway press headgear |
292 |
221 |
$4K |
| A7038 |
Pos airway pressure filter |
1,323 |
929 |
$3K |
| A4604 |
Tubing with heating element |
278 |
223 |
$2K |
| E0562 |
Humidifier heated used w pap |
13 |
13 |
$2K |
| A7037 |
Pos airway pressure tubing |
117 |
80 |
$1K |
| E1392 |
Portable oxygen concentrator |
136 |
122 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
32 |
24 |
$830.18 |
| E0570 |
Nebulizer with compression |
50 |
43 |
$527.16 |
| A7046 |
Repl water chamber, pap dev |
109 |
75 |
$349.94 |
| E0431 |
Portable gaseous 02 |
60 |
49 |
$254.95 |
| K0001 |
Standard wheelchair |
15 |
13 |
$150.92 |
| A7034 |
Nasal application device |
24 |
14 |
$150.88 |