| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,099 |
5,847 |
$117K |
| A7030 |
Cpap full face mask |
2,506 |
2,180 |
$115K |
| A4604 |
Tubing with heating element |
3,676 |
3,301 |
$85K |
| E1390 |
Oxygen concentrator |
3,516 |
2,747 |
$75K |
| A7034 |
Nasal application device |
2,038 |
1,884 |
$73K |
| A7031 |
Replacement facemask interfa |
2,531 |
2,136 |
$56K |
| E0562 |
Humidifier heated used w pap |
6,589 |
5,802 |
$53K |
| A7035 |
Pos airway press headgear |
2,844 |
2,539 |
$31K |
| A7032 |
Replacement nasal cushion |
1,461 |
1,121 |
$27K |
| E0470 |
Rad w/o backup non-inv intfc |
648 |
515 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,691 |
1,543 |
$13K |
| E0431 |
Portable gaseous 02 |
1,965 |
1,490 |
$9K |
| A7038 |
Pos airway pressure filter |
5,768 |
4,261 |
$8K |
| E0570 |
Nebulizer with compression |
733 |
693 |
$5K |
| A7033 |
Replacement nasal pillows |
231 |
180 |
$4K |
| A7039 |
Filter, non disposable w pap |
955 |
837 |
$3K |
| A7037 |
Pos airway pressure tubing |
286 |
260 |
$2K |
| K0001 |
Standard wheelchair |
43 |
28 |
$147.00 |
| E0260 |
Hosp bed semi-electr w/ matt |
15 |
13 |
$130.89 |
| E1392 |
Portable oxygen concentrator |
12 |
12 |
$82.12 |
| E0255 |
Hospital bed var ht w/ mattr |
13 |
12 |
$15.09 |