| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,546 |
2,137 |
$98K |
| E0562 |
Humidifier heated used w pap |
2,245 |
1,883 |
$26K |
| A4604 |
Tubing with heating element |
919 |
632 |
$26K |
| A7030 |
Cpap full face mask |
281 |
184 |
$21K |
| A7031 |
Replacement facemask interfa |
770 |
399 |
$12K |
| A7035 |
Pos airway press headgear |
666 |
439 |
$10K |
| A7046 |
Repl water chamber, pap dev |
534 |
342 |
$4K |
| L4361 |
Pneuma/vac walk boot pre ots |
14 |
13 |
$4K |
| A7038 |
Pos airway pressure filter |
1,192 |
783 |
$2K |
| E0570 |
Nebulizer with compression |
73 |
55 |
$442.50 |
| A7032 |
Replacement nasal cushion |
17 |
12 |
$231.75 |
| K0001 |
Standard wheelchair |
49 |
36 |
$176.86 |