| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,488 |
1,407 |
$77K |
| E1390 |
Oxygen concentrator |
1,016 |
987 |
$55K |
| E0562 |
Humidifier heated used w pap |
1,356 |
1,271 |
$23K |
| A7034 |
Nasal application device |
355 |
355 |
$18K |
| A7033 |
Replacement nasal pillows |
229 |
229 |
$10K |
| A7035 |
Pos airway press headgear |
395 |
395 |
$8K |
| A7032 |
Replacement nasal cushion |
298 |
298 |
$8K |
| E0431 |
Portable gaseous 02 |
582 |
562 |
$8K |
| A7038 |
Pos airway pressure filter |
1,328 |
1,327 |
$7K |
| A4604 |
Tubing with heating element |
215 |
215 |
$4K |
| K0001 |
Standard wheelchair |
208 |
195 |
$3K |
| A7046 |
Repl water chamber, pap dev |
343 |
343 |
$3K |
| A7037 |
Pos airway pressure tubing |
150 |
150 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
40 |
40 |
$3K |
| A7030 |
Cpap full face mask |
27 |
27 |
$2K |
| A7031 |
Replacement facemask interfa |
28 |
28 |
$1K |
| A7039 |
Filter, non disposable w pap |
204 |
204 |
$1K |