| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
6,093 |
5,640 |
$173K |
| E0562 |
Humidifier heated used w pap |
870 |
807 |
$70K |
| A7030 |
Cpap full face mask |
708 |
657 |
$48K |
| A7034 |
Nasal application device |
964 |
894 |
$27K |
| A7035 |
Pos airway press headgear |
1,893 |
1,714 |
$18K |
| A7037 |
Pos airway pressure tubing |
1,876 |
1,693 |
$15K |
| A7032 |
Replacement nasal cushion |
944 |
867 |
$12K |
| A7039 |
Filter, non disposable w pap |
1,907 |
1,731 |
$7K |
| A7031 |
Replacement facemask interfa |
529 |
489 |
$6K |
| A7045 |
Repl exhalation port for pap |
1,541 |
1,387 |
$4K |
| A7038 |
Pos airway pressure filter |
595 |
595 |
$770.01 |
| A7046 |
Repl water chamber, pap dev |
59 |
59 |
$293.44 |
| K0003 |
Lightweight wheelchair |
12 |
12 |
$261.49 |
| K0195 |
Elevating whlchair leg rests |
13 |
13 |
$80.33 |