| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0471 |
Rad w/backup non inv intrfc |
532 |
513 |
$215K |
| E1390 |
Oxygen concentrator |
2,861 |
2,808 |
$201K |
| E0601 |
Cont airway pressure device |
741 |
704 |
$39K |
| K0823 |
Pwc gp 2 std cap chair |
231 |
230 |
$22K |
| E0562 |
Humidifier heated used w pap |
374 |
372 |
$17K |
| E0570 |
Nebulizer with compression |
335 |
331 |
$7K |
| A4604 |
Tubing with heating element |
147 |
146 |
$5K |
| A7038 |
Pos airway pressure filter |
710 |
706 |
$4K |
| A7035 |
Pos airway press headgear |
177 |
177 |
$4K |
| E0973 |
W/ch access det adj armrest |
540 |
314 |
$3K |
| A7030 |
Cpap full face mask |
38 |
38 |
$2K |
| A7034 |
Nasal application device |
14 |
14 |
$1K |
| A7039 |
Filter, non disposable w pap |
25 |
25 |
$233.65 |
| E1028 |
W/c manual swingaway |
51 |
49 |
$175.58 |
| A7046 |
Repl water chamber, pap dev |
14 |
14 |
$162.39 |