| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
742 |
679 |
$37K |
| E1390 |
Oxygen concentrator |
226 |
215 |
$10K |
| E0562 |
Humidifier heated used w pap |
875 |
789 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
295 |
258 |
$5K |
| A4604 |
Tubing with heating element |
188 |
176 |
$4K |
| K0001 |
Standard wheelchair |
276 |
239 |
$3K |
| A7030 |
Cpap full face mask |
83 |
81 |
$3K |
| E0431 |
Portable gaseous 02 |
96 |
95 |
$952.42 |
| A7035 |
Pos airway press headgear |
109 |
104 |
$819.47 |
| K0195 |
Elevating whlchair leg rests |
116 |
104 |
$581.90 |
| A7031 |
Replacement facemask interfa |
31 |
29 |
$517.01 |
| E0443 |
Portable 02 contents, gas |
14 |
14 |
$359.64 |
| E0570 |
Nebulizer with compression |
44 |
43 |
$278.04 |
| A7038 |
Pos airway pressure filter |
220 |
198 |
$193.06 |
| A7046 |
Repl water chamber, pap dev |
15 |
14 |
$54.28 |
| A7039 |
Filter, non disposable w pap |
19 |
18 |
$30.62 |