| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,204 |
1,893 |
$48K |
| E1390 |
Oxygen concentrator |
1,656 |
1,327 |
$33K |
| E0562 |
Humidifier heated used w pap |
2,118 |
1,803 |
$16K |
| E0466 |
Home vent non-invasive inter |
151 |
128 |
$9K |
| A7031 |
Replacement facemask interfa |
577 |
484 |
$9K |
| A7034 |
Nasal application device |
228 |
198 |
$7K |
| A7033 |
Replacement nasal pillows |
212 |
185 |
$4K |
| A7038 |
Pos airway pressure filter |
1,582 |
1,381 |
$4K |
| A7035 |
Pos airway press headgear |
349 |
297 |
$3K |
| A4604 |
Tubing with heating element |
121 |
101 |
$3K |
| A7030 |
Cpap full face mask |
32 |
27 |
$1K |
| A7037 |
Pos airway pressure tubing |
215 |
184 |
$1K |
| E0570 |
Nebulizer with compression |
115 |
107 |
$1K |
| E0431 |
Portable gaseous 02 |
230 |
210 |
$639.22 |
| K0001 |
Standard wheelchair |
92 |
62 |
$484.48 |
| A7039 |
Filter, non disposable w pap |
114 |
92 |
$388.71 |
| A7032 |
Replacement nasal cushion |
18 |
16 |
$250.58 |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$47.62 |