| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
16,708 |
13,066 |
$537K |
| A7030 |
Cpap full face mask |
6,952 |
5,209 |
$357K |
| A7031 |
Replacement facemask interfa |
10,713 |
8,494 |
$303K |
| E0466 |
Home vent non-invasive inter |
1,325 |
1,071 |
$279K |
| A7032 |
Replacement nasal cushion |
7,850 |
6,424 |
$259K |
| A7034 |
Nasal application device |
6,993 |
5,406 |
$229K |
| E1390 |
Oxygen concentrator |
6,470 |
5,135 |
$222K |
| E0562 |
Humidifier heated used w pap |
16,802 |
13,093 |
$179K |
| A4604 |
Tubing with heating element |
8,202 |
6,213 |
$168K |
| E0470 |
Rad w/o backup non-inv intfc |
2,313 |
1,637 |
$125K |
| A7035 |
Pos airway press headgear |
8,392 |
6,395 |
$93K |
| A7038 |
Pos airway pressure filter |
23,015 |
18,384 |
$81K |
| A7033 |
Replacement nasal pillows |
3,142 |
2,475 |
$70K |
| A7037 |
Pos airway pressure tubing |
5,774 |
4,472 |
$57K |
| A7046 |
Repl water chamber, pap dev |
6,072 |
4,623 |
$38K |
| E0431 |
Portable gaseous 02 |
2,820 |
2,217 |
$20K |
| E0570 |
Nebulizer with compression |
1,623 |
1,290 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
572 |
426 |
$13K |
| E1392 |
Portable oxygen concentrator |
949 |
709 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
175 |
142 |
$4K |
| E0619 |
Apnea monitor w recorder |
13 |
12 |
$2K |
| E0445 |
Oximeter non-invasive |
12 |
12 |
$1K |
| K0001 |
Standard wheelchair |
220 |
175 |
$1K |
| A7003 |
Nebulizer administration set |
716 |
580 |
$875.45 |
| A7039 |
Filter, non disposable w pap |
151 |
122 |
$801.31 |
| E0156 |
Walker seat attachment |
115 |
86 |
$668.87 |
| A7013 |
Disposable compressor filter |
320 |
212 |
$142.07 |
| A7005 |
Nondisposable nebulizer set |
27 |
27 |
$124.12 |
| A7015 |
Aerosol mask used w nebulize |
48 |
40 |
$42.20 |