| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
19,090 |
16,014 |
$590K |
| A7030 |
Cpap full face mask |
7,519 |
6,330 |
$413K |
| A7031 |
Replacement facemask interfa |
11,734 |
9,946 |
$333K |
| A4604 |
Tubing with heating element |
11,472 |
9,613 |
$270K |
| E1390 |
Oxygen concentrator |
6,655 |
5,540 |
$215K |
| E0562 |
Humidifier heated used w pap |
11,219 |
9,595 |
$178K |
| A7034 |
Nasal application device |
4,631 |
3,899 |
$174K |
| A7032 |
Replacement nasal cushion |
5,218 |
4,418 |
$110K |
| E0470 |
Rad w/o backup non-inv intfc |
1,843 |
1,507 |
$93K |
| A7035 |
Pos airway press headgear |
8,048 |
6,609 |
$91K |
| A7038 |
Pos airway pressure filter |
22,336 |
18,863 |
$55K |
| A7046 |
Repl water chamber, pap dev |
5,099 |
4,284 |
$38K |
| A7033 |
Replacement nasal pillows |
1,495 |
1,328 |
$34K |
| E1392 |
Portable oxygen concentrator |
1,684 |
1,504 |
$21K |
| K0738 |
Portable gas oxygen system |
1,311 |
968 |
$13K |
| E0471 |
Rad w/backup non inv intrfc |
122 |
81 |
$11K |
| E0570 |
Nebulizer with compression |
1,398 |
1,079 |
$11K |
| E0431 |
Portable gaseous 02 |
1,340 |
1,119 |
$8K |
| A7037 |
Pos airway pressure tubing |
823 |
702 |
$7K |
| E1130 |
Whlchr stand fxd arm ft rest |
309 |
304 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
139 |
122 |
$2K |
| A7005 |
Nondisposable nebulizer set |
30 |
24 |
$386.92 |
| A7039 |
Filter, non disposable w pap |
97 |
75 |
$374.50 |