| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,250 |
2,782 |
$241K |
| T4527 |
Adult size pull-on lg |
1,038 |
995 |
$132K |
| A7030 |
Cpap full face mask |
1,088 |
936 |
$100K |
| A4604 |
Tubing with heating element |
2,402 |
2,102 |
$75K |
| E0562 |
Humidifier heated used w pap |
2,336 |
2,143 |
$71K |
| E1390 |
Oxygen concentrator |
964 |
847 |
$67K |
| T4528 |
Adult size pull-on xl |
566 |
541 |
$64K |
| A7034 |
Nasal application device |
955 |
846 |
$53K |
| A7035 |
Pos airway press headgear |
2,491 |
2,178 |
$46K |
| A4927 |
Non-sterile gloves |
2,504 |
2,396 |
$44K |
| T4526 |
Adult size pull-on med |
410 |
383 |
$44K |
| A7032 |
Replacement nasal cushion |
1,661 |
1,487 |
$40K |
| T4535 |
Disposable liner/shield/pad |
424 |
405 |
$37K |
| E0570 |
Nebulizer with compression |
842 |
592 |
$21K |
| K0001 |
Standard wheelchair |
1,260 |
1,016 |
$20K |
| A7038 |
Pos airway pressure filter |
3,702 |
3,242 |
$19K |
| T4541 |
Large disposable underpad |
491 |
460 |
$15K |
| A7031 |
Replacement facemask interfa |
290 |
254 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,048 |
898 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
81 |
75 |
$4K |
| T4537 |
Reusable underpad bed size |
115 |
115 |
$3K |