| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,880 |
7,724 |
$322K |
| A7030 |
Cpap full face mask |
2,651 |
2,615 |
$254K |
| A4604 |
Tubing with heating element |
4,575 |
4,504 |
$173K |
| E1390 |
Oxygen concentrator |
2,187 |
2,130 |
$145K |
| A7034 |
Nasal application device |
1,365 |
1,350 |
$85K |
| A7031 |
Replacement facemask interfa |
1,949 |
1,916 |
$78K |
| E0562 |
Humidifier heated used w pap |
453 |
446 |
$76K |
| A7035 |
Pos airway press headgear |
3,258 |
3,215 |
$68K |
| E0470 |
Rad w/o backup non-inv intfc |
354 |
349 |
$35K |
| A7038 |
Pos airway pressure filter |
6,648 |
6,509 |
$34K |
| A7046 |
Repl water chamber, pap dev |
1,664 |
1,651 |
$21K |
| A7032 |
Replacement nasal cushion |
582 |
568 |
$19K |
| E1392 |
Portable oxygen concentrator |
210 |
207 |
$7K |
| A7039 |
Filter, non disposable w pap |
619 |
612 |
$5K |
| K0738 |
Portable gas oxygen system |
157 |
156 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
78 |
78 |
$4K |
| T4527 |
Adult size pull-on lg |
13 |
13 |
$2K |
| A7033 |
Replacement nasal pillows |
39 |
39 |
$786.20 |
| E0118 |
Crutch substitute |
12 |
12 |
$735.72 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$218.90 |
| A7036 |
Pos airway press chinstrap |
14 |
14 |
$96.06 |