| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
6,301 |
6,247 |
$540K |
| E0470 |
Rad w/o backup non-inv intfc |
1,434 |
1,411 |
$294K |
| E0562 |
Humidifier heated used w pap |
2,366 |
2,306 |
$182K |
| A4604 |
Tubing with heating element |
1,359 |
1,351 |
$65K |
| A7030 |
Cpap full face mask |
449 |
445 |
$38K |
| A7035 |
Pos airway press headgear |
1,361 |
1,353 |
$36K |
| K0003 |
Lightweight wheelchair |
3,055 |
3,050 |
$33K |
| A7038 |
Pos airway pressure filter |
5,399 |
5,381 |
$25K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,339 |
1,339 |
$19K |
| A7034 |
Nasal application device |
229 |
227 |
$19K |
| K0195 |
Elevating whlchair leg rests |
3,743 |
3,709 |
$12K |
| A7039 |
Filter, non disposable w pap |
738 |
733 |
$7K |
| E0570 |
Nebulizer with compression |
481 |
480 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
251 |
251 |
$4K |
| K0001 |
Standard wheelchair |
324 |
324 |
$2K |
| E0973 |
W/ch access det adj armrest |
36 |
36 |
$864.07 |
| E0245 |
Tub stool or bench |
13 |
13 |
$702.44 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$592.15 |
| A7046 |
Repl water chamber, pap dev |
41 |
40 |
$554.46 |
| E0156 |
Walker seat attachment |
90 |
90 |
$348.49 |
| E0971 |
Wheelchair anti-tipping devi |
36 |
36 |
$303.51 |
| E0163 |
Commode chair with fixed arm |
27 |
27 |
$292.48 |
| E0961 |
Wheelchair brake extension |
36 |
36 |
$193.74 |
| E0978 |
W/c acc,saf belt pelv strap |
24 |
24 |
$115.87 |