| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,628 |
1,557 |
$325K |
| A7030 |
Cpap full face mask |
777 |
744 |
$90K |
| E0570 |
Nebulizer with compression |
1,266 |
1,155 |
$65K |
| A7037 |
Pos airway pressure tubing |
2,037 |
1,947 |
$58K |
| E0562 |
Humidifier heated used w pap |
634 |
616 |
$55K |
| K0195 |
Elevating whlchair leg rests |
1,001 |
882 |
$40K |
| A7035 |
Pos airway press headgear |
1,306 |
1,240 |
$34K |
| A7031 |
Replacement facemask interfa |
712 |
692 |
$31K |
| A7038 |
Pos airway pressure filter |
3,668 |
3,518 |
$27K |
| K0003 |
Lightweight wheelchair |
354 |
314 |
$20K |
| A7039 |
Filter, non disposable w pap |
692 |
660 |
$6K |
| A7032 |
Replacement nasal cushion |
177 |
169 |
$5K |
| E2203 |
Frame depth less than 22 in |
54 |
51 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
76 |
76 |
$4K |
| L3809 |
Whfo w/o joints pre ots |
35 |
25 |
$4K |
| A7003 |
Nebulizer administration set |
1,321 |
1,234 |
$2K |
| L3807 |
Whfo w/o joints pre cst |
20 |
16 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,289 |
1,205 |
$1K |
| A7034 |
Nasal application device |
13 |
12 |
$1K |
| E1399 |
Durable medical equipment mi |
194 |
180 |
$264.08 |
| A7046 |
Repl water chamber, pap dev |
14 |
13 |
$105.12 |