| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,091 |
2,228 |
$79K |
| E1390 |
Oxygen concentrator |
1,313 |
925 |
$55K |
| E0562 |
Humidifier heated used w pap |
979 |
594 |
$22K |
| A4604 |
Tubing with heating element |
1,300 |
875 |
$16K |
| A7030 |
Cpap full face mask |
346 |
236 |
$13K |
| E0431 |
Portable gaseous 02 |
1,181 |
827 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
385 |
234 |
$9K |
| A7035 |
Pos airway press headgear |
797 |
560 |
$8K |
| A7038 |
Pos airway pressure filter |
1,696 |
1,125 |
$5K |
| A7031 |
Replacement facemask interfa |
172 |
107 |
$3K |
| A7046 |
Repl water chamber, pap dev |
145 |
106 |
$676.56 |
| E0570 |
Nebulizer with compression |
78 |
49 |
$426.32 |
| A7034 |
Nasal application device |
22 |
14 |
$249.95 |