| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,675 |
2,386 |
$60K |
| A7034 |
Nasal application device |
939 |
825 |
$27K |
| E1390 |
Oxygen concentrator |
1,699 |
1,505 |
$23K |
| E0562 |
Humidifier heated used w pap |
2,712 |
2,410 |
$19K |
| A7031 |
Replacement facemask interfa |
1,226 |
1,121 |
$16K |
| A7030 |
Cpap full face mask |
431 |
387 |
$13K |
| A7033 |
Replacement nasal pillows |
872 |
763 |
$13K |
| A7032 |
Replacement nasal cushion |
747 |
677 |
$13K |
| A4604 |
Tubing with heating element |
488 |
429 |
$8K |
| A7035 |
Pos airway press headgear |
880 |
786 |
$8K |
| A7037 |
Pos airway pressure tubing |
932 |
827 |
$6K |
| E1392 |
Portable oxygen concentrator |
766 |
650 |
$6K |
| A7038 |
Pos airway pressure filter |
1,763 |
1,610 |
$3K |
| A7039 |
Filter, non disposable w pap |
712 |
639 |
$2K |
| A7046 |
Repl water chamber, pap dev |
241 |
206 |
$1K |
| E0570 |
Nebulizer with compression |
540 |
508 |
$773.68 |
| E0431 |
Portable gaseous 02 |
447 |
411 |
$331.39 |
| A7036 |
Pos airway press chinstrap |
29 |
25 |
$174.31 |
| K0001 |
Standard wheelchair |
86 |
85 |
$89.04 |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$45.29 |
| E0971 |
Wheelchair anti-tipping devi |
26 |
13 |
$3.12 |
| E0961 |
Wheelchair brake extension |
24 |
12 |
$1.26 |
| E0951 |
Loop heel |
26 |
13 |
$0.92 |