| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7032 |
Replacement nasal cushion |
2,125 |
1,953 |
$216K |
| A7034 |
Nasal application device |
2,966 |
2,706 |
$178K |
| A7030 |
Cpap full face mask |
1,643 |
1,478 |
$145K |
| A7031 |
Replacement facemask interfa |
1,881 |
1,687 |
$140K |
| A4604 |
Tubing with heating element |
3,458 |
3,135 |
$114K |
| A7033 |
Replacement nasal pillows |
1,336 |
1,201 |
$79K |
| A7038 |
Pos airway pressure filter |
5,278 |
4,745 |
$61K |
| E1390 |
Oxygen concentrator |
1,865 |
1,501 |
$54K |
| E0601 |
Cont airway pressure device |
1,498 |
1,193 |
$41K |
| A7035 |
Pos airway press headgear |
2,085 |
1,875 |
$39K |
| A7046 |
Repl water chamber, pap dev |
1,943 |
1,768 |
$19K |
| A7037 |
Pos airway pressure tubing |
943 |
856 |
$16K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,026 |
794 |
$14K |
| K0001 |
Standard wheelchair |
1,306 |
989 |
$11K |
| E0570 |
Nebulizer with compression |
602 |
529 |
$8K |
| E1392 |
Portable oxygen concentrator |
843 |
712 |
$8K |
| E0431 |
Portable gaseous 02 |
724 |
590 |
$5K |
| A7039 |
Filter, non disposable w pap |
547 |
479 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
15 |
12 |
$412.46 |