| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,573 |
2,463 |
$106K |
| A7030 |
Cpap full face mask |
951 |
942 |
$89K |
| A4604 |
Tubing with heating element |
1,571 |
1,555 |
$61K |
| A7034 |
Nasal application device |
429 |
422 |
$24K |
| A7035 |
Pos airway press headgear |
1,199 |
1,191 |
$24K |
| A7031 |
Replacement facemask interfa |
606 |
585 |
$22K |
| E1390 |
Oxygen concentrator |
280 |
275 |
$19K |
| A7038 |
Pos airway pressure filter |
2,186 |
2,146 |
$10K |
| T4535 |
Disposable liner/shield/pad |
104 |
91 |
$8K |
| A7046 |
Repl water chamber, pap dev |
512 |
509 |
$7K |
| E0562 |
Humidifier heated used w pap |
38 |
38 |
$6K |
| E0603 |
Electric breast pump |
18 |
18 |
$4K |
| E0118 |
Crutch substitute |
66 |
65 |
$2K |
| A7032 |
Replacement nasal cushion |
78 |
76 |
$2K |
| A4670 |
Automatic bp monitor, dial |
25 |
25 |
$2K |
| K0001 |
Standard wheelchair |
12 |
12 |
$379.23 |
| A7039 |
Filter, non disposable w pap |
13 |
13 |
$114.23 |