| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2510 |
Sgd w multi methods msg/accs |
508 |
452 |
$2.13M |
| E0601 |
Cont airway pressure device |
1,448 |
1,268 |
$27K |
| E2599 |
Sgd accessory noc |
25 |
13 |
$21K |
| E0562 |
Humidifier heated used w pap |
909 |
801 |
$11K |
| A4604 |
Tubing with heating element |
455 |
374 |
$7K |
| A7030 |
Cpap full face mask |
165 |
128 |
$5K |
| E1390 |
Oxygen concentrator |
181 |
170 |
$5K |
| A7034 |
Nasal application device |
131 |
116 |
$4K |
| A7035 |
Pos airway press headgear |
358 |
301 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
63 |
50 |
$3K |
| A7031 |
Replacement facemask interfa |
165 |
125 |
$2K |
| A7038 |
Pos airway pressure filter |
719 |
613 |
$1K |
| A7032 |
Replacement nasal cushion |
70 |
54 |
$973.27 |
| E0431 |
Portable gaseous 02 |
96 |
95 |
$407.34 |
| E0570 |
Nebulizer with compression |
75 |
66 |
$372.85 |
| A7046 |
Repl water chamber, pap dev |
93 |
71 |
$151.10 |
| A7036 |
Pos airway press chinstrap |
17 |
16 |
$98.82 |