| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
20,890 |
19,036 |
$980K |
| E0466 |
Home vent non-invasive inter |
1,970 |
1,886 |
$854K |
| A7030 |
Cpap full face mask |
7,395 |
6,903 |
$587K |
| E1390 |
Oxygen concentrator |
4,907 |
4,457 |
$465K |
| E0562 |
Humidifier heated used w pap |
16,769 |
14,875 |
$336K |
| A4604 |
Tubing with heating element |
11,789 |
10,897 |
$321K |
| E0470 |
Rad w/o backup non-inv intfc |
1,885 |
1,725 |
$242K |
| A7034 |
Nasal application device |
4,430 |
4,121 |
$214K |
| A7035 |
Pos airway press headgear |
9,001 |
8,284 |
$178K |
| A7031 |
Replacement facemask interfa |
5,567 |
5,300 |
$170K |
| A7032 |
Replacement nasal cushion |
3,078 |
2,907 |
$144K |
| A7033 |
Replacement nasal pillows |
2,673 |
2,456 |
$94K |
| A7046 |
Repl water chamber, pap dev |
6,905 |
6,319 |
$75K |
| E1392 |
Portable oxygen concentrator |
3,109 |
2,688 |
$73K |
| A7038 |
Pos airway pressure filter |
12,889 |
12,059 |
$66K |
| A7039 |
Filter, non disposable w pap |
1,166 |
1,078 |
$11K |
| K0001 |
Standard wheelchair |
260 |
233 |
$6K |
| E0471 |
Rad w/backup non inv intrfc |
25 |
24 |
$4K |
| A7036 |
Pos airway press chinstrap |
60 |
54 |
$552.35 |
| E0431 |
Portable gaseous 02 |
25 |
25 |
$451.58 |