| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
836 |
828 |
$70K |
| E1390 |
Oxygen concentrator |
803 |
802 |
$68K |
| E0470 |
Rad w/o backup non-inv intfc |
199 |
199 |
$47K |
| A7032 |
Replacement nasal cushion |
1,057 |
1,053 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,080 |
1,073 |
$32K |
| A4604 |
Tubing with heating element |
727 |
726 |
$28K |
| A7034 |
Nasal application device |
456 |
456 |
$26K |
| A7033 |
Replacement nasal pillows |
474 |
474 |
$19K |
| A7038 |
Pos airway pressure filter |
2,618 |
2,605 |
$17K |
| A7035 |
Pos airway press headgear |
764 |
762 |
$15K |
| A7030 |
Cpap full face mask |
175 |
174 |
$15K |
| A7046 |
Repl water chamber, pap dev |
698 |
696 |
$8K |
| E0431 |
Portable gaseous 02 |
449 |
449 |
$7K |
| A7031 |
Replacement facemask interfa |
173 |
169 |
$7K |
| K0001 |
Standard wheelchair |
60 |
56 |
$2K |
| A7039 |
Filter, non disposable w pap |
251 |
250 |
$2K |
| A7037 |
Pos airway pressure tubing |
13 |
13 |
$207.61 |