| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
21,596 |
20,597 |
$2.24M |
| A7030 |
Cpap full face mask |
8,195 |
7,718 |
$950K |
| E1390 |
Oxygen concentrator |
4,440 |
4,042 |
$569K |
| E0562 |
Humidifier heated used w pap |
7,149 |
6,664 |
$530K |
| A7034 |
Nasal application device |
5,400 |
5,081 |
$445K |
| A7037 |
Pos airway pressure tubing |
13,514 |
12,777 |
$390K |
| A7035 |
Pos airway press headgear |
13,578 |
12,818 |
$332K |
| K0003 |
Lightweight wheelchair |
2,594 |
2,499 |
$143K |
| E0470 |
Rad w/o backup non-inv intfc |
443 |
414 |
$102K |
| A7038 |
Pos airway pressure filter |
16,676 |
15,845 |
$93K |
| A7031 |
Replacement facemask interfa |
1,787 |
1,720 |
$75K |
| E0143 |
Walker folding wheeled w/o s |
737 |
690 |
$53K |
| A7032 |
Replacement nasal cushion |
1,375 |
1,324 |
$39K |
| K0195 |
Elevating whlchair leg rests |
692 |
663 |
$31K |
| E0443 |
Portable 02 contents, gas |
938 |
890 |
$31K |
| E0431 |
Portable gaseous 02 |
1,299 |
1,101 |
$15K |
| A7039 |
Filter, non disposable w pap |
1,537 |
1,474 |
$15K |
| E0163 |
Commode chair with fixed arm |
57 |
55 |
$3K |