| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
9,348 |
9,293 |
$495K |
| E1390 |
Oxygen concentrator |
4,357 |
4,335 |
$411K |
| E0466 |
Home vent non-invasive inter |
555 |
554 |
$346K |
| A7034 |
Nasal application device |
2,287 |
2,268 |
$97K |
| E0470 |
Rad w/o backup non-inv intfc |
904 |
900 |
$94K |
| E0570 |
Nebulizer with compression |
2,382 |
2,378 |
$84K |
| E0562 |
Humidifier heated used w pap |
6,802 |
6,770 |
$81K |
| A7030 |
Cpap full face mask |
856 |
850 |
$56K |
| A7035 |
Pos airway press headgear |
2,879 |
2,854 |
$53K |
| A7037 |
Pos airway pressure tubing |
2,238 |
2,235 |
$51K |
| E0431 |
Portable gaseous 02 |
2,313 |
2,311 |
$40K |
| A7038 |
Pos airway pressure filter |
4,851 |
4,809 |
$25K |
| A7031 |
Replacement facemask interfa |
677 |
670 |
$22K |
| A7032 |
Replacement nasal cushion |
838 |
831 |
$21K |
| E0561 |
Humidifier nonheated w pap |
1,997 |
1,993 |
$15K |
| A7033 |
Replacement nasal pillows |
689 |
682 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,453 |
1,444 |
$8K |
| A7005 |
Nondisposable nebulizer set |
511 |
511 |
$8K |
| A4604 |
Tubing with heating element |
856 |
843 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
51 |
51 |
$2K |
| K0003 |
Lightweight wheelchair |
58 |
56 |
$2K |
| A4670 |
Automatic bp monitor, dial |
12 |
12 |
$595.02 |
| K0001 |
Standard wheelchair |
12 |
12 |
$322.06 |
| A7015 |
Aerosol mask used w nebulize |
41 |
41 |
$44.87 |