| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,102 |
9,131 |
$265K |
| E1390 |
Oxygen concentrator |
8,685 |
7,038 |
$260K |
| E0562 |
Humidifier heated used w pap |
11,105 |
9,336 |
$76K |
| A7030 |
Cpap full face mask |
2,491 |
1,920 |
$69K |
| A7038 |
Pos airway pressure filter |
3,811 |
2,978 |
$42K |
| E0471 |
Rad w/backup non inv intrfc |
533 |
356 |
$40K |
| E0470 |
Rad w/o backup non-inv intfc |
914 |
686 |
$34K |
| E0431 |
Portable gaseous 02 |
3,277 |
2,759 |
$27K |
| A7037 |
Pos airway pressure tubing |
1,573 |
1,366 |
$25K |
| A7034 |
Nasal application device |
982 |
834 |
$20K |
| A7031 |
Replacement facemask interfa |
2,500 |
1,914 |
$15K |
| A4604 |
Tubing with heating element |
1,874 |
1,392 |
$13K |
| A7035 |
Pos airway press headgear |
3,161 |
2,549 |
$11K |
| A7039 |
Filter, non disposable w pap |
205 |
154 |
$4K |
| A4554 |
Disposable underpads |
37 |
27 |
$2K |
| E1392 |
Portable oxygen concentrator |
999 |
856 |
$2K |
| E0570 |
Nebulizer with compression |
451 |
348 |
$1K |
| A7032 |
Replacement nasal cushion |
130 |
113 |
$1K |
| K0001 |
Standard wheelchair |
78 |
67 |
$550.96 |
| A4927 |
Non-sterile gloves |
75 |
65 |
$448.76 |
| A7033 |
Replacement nasal pillows |
139 |
117 |
$379.93 |
| E0260 |
Hosp bed semi-electr w/ matt |
32 |
26 |
$374.81 |
| A7046 |
Repl water chamber, pap dev |
31 |
13 |
$118.09 |