| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
382 |
365 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
372 |
372 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
285 |
278 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
108 |
106 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,356 |
1,343 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
162 |
157 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
26 |
$663.36 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
24 |
24 |
$299.78 |