| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
10,671 |
10,453 |
$584K |
| E1390 |
Oxygen concentrator |
2,393 |
2,385 |
$236K |
| E0466 |
Home vent non-invasive inter |
755 |
747 |
$226K |
| E0470 |
Rad w/o backup non-inv intfc |
1,555 |
1,522 |
$198K |
| E0562 |
Humidifier heated used w pap |
11,566 |
11,443 |
$126K |
| A7030 |
Cpap full face mask |
1,142 |
1,126 |
$84K |
| A7037 |
Pos airway pressure tubing |
1,933 |
1,905 |
$39K |
| A7035 |
Pos airway press headgear |
1,893 |
1,866 |
$39K |
| A7034 |
Nasal application device |
784 |
773 |
$35K |
| E0431 |
Portable gaseous 02 |
965 |
963 |
$18K |
| A7038 |
Pos airway pressure filter |
2,371 |
2,327 |
$12K |
| A7046 |
Repl water chamber, pap dev |
1,259 |
1,241 |
$8K |
| A7036 |
Pos airway press chinstrap |
214 |
209 |
$2K |
| A7031 |
Replacement facemask interfa |
27 |
26 |
$572.96 |
| A7033 |
Replacement nasal pillows |
28 |
27 |
$406.23 |
| K0001 |
Standard wheelchair |
26 |
24 |
$322.06 |
| A7039 |
Filter, non disposable w pap |
128 |
127 |
$105.46 |