| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,459 |
3,236 |
$250K |
| E1390 |
Oxygen concentrator |
2,436 |
2,159 |
$108K |
| E0570 |
Nebulizer with compression |
1,575 |
1,419 |
$50K |
| A7030 |
Cpap full face mask |
343 |
322 |
$25K |
| A7035 |
Pos airway press headgear |
1,323 |
1,243 |
$21K |
| A7037 |
Pos airway pressure tubing |
658 |
619 |
$15K |
| K0003 |
Lightweight wheelchair |
752 |
699 |
$13K |
| E0562 |
Humidifier heated used w pap |
121 |
104 |
$13K |
| A7034 |
Nasal application device |
200 |
191 |
$10K |
| E0445 |
Oximeter non-invasive |
36 |
36 |
$9K |
| A7038 |
Pos airway pressure filter |
1,460 |
1,392 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
50 |
49 |
$7K |
| A7039 |
Filter, non disposable w pap |
842 |
789 |
$5K |
| E0431 |
Portable gaseous 02 |
820 |
700 |
$3K |
| A7003 |
Nebulizer administration set |
841 |
787 |
$1K |
| A7046 |
Repl water chamber, pap dev |
97 |
91 |
$518.00 |
| A7015 |
Aerosol mask used w nebulize |
346 |
333 |
$390.32 |
| A7013 |
Disposable compressor filter |
390 |
356 |
$276.36 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$132.32 |
| K0001 |
Standard wheelchair |
15 |
13 |
$115.11 |
| A4604 |
Tubing with heating element |
95 |
93 |
$0.00 |