| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,586 |
1,227 |
$41K |
| A7030 |
Cpap full face mask |
500 |
472 |
$31K |
| A4604 |
Tubing with heating element |
947 |
910 |
$27K |
| E1390 |
Oxygen concentrator |
846 |
744 |
$26K |
| A7031 |
Replacement facemask interfa |
756 |
677 |
$17K |
| E0570 |
Nebulizer with compression |
976 |
927 |
$14K |
| A7034 |
Nasal application device |
292 |
284 |
$12K |
| E0562 |
Humidifier heated used w pap |
334 |
304 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
545 |
501 |
$12K |
| A7035 |
Pos airway press headgear |
619 |
598 |
$9K |
| K0001 |
Standard wheelchair |
643 |
577 |
$6K |
| A7032 |
Replacement nasal cushion |
246 |
233 |
$6K |
| A7046 |
Repl water chamber, pap dev |
381 |
366 |
$3K |
| A7038 |
Pos airway pressure filter |
1,561 |
1,318 |
$3K |
| E0431 |
Portable gaseous 02 |
354 |
311 |
$3K |
| E1392 |
Portable oxygen concentrator |
25 |
25 |
$431.16 |
| A7033 |
Replacement nasal pillows |
15 |
13 |
$205.80 |
| A7005 |
Nondisposable nebulizer set |
16 |
13 |
$174.16 |