| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,727 |
1,643 |
$156K |
| A7030 |
Cpap full face mask |
640 |
605 |
$58K |
| A7034 |
Nasal application device |
764 |
718 |
$46K |
| E0562 |
Humidifier heated used w pap |
293 |
275 |
$46K |
| A4604 |
Tubing with heating element |
1,293 |
1,216 |
$44K |
| A7035 |
Pos airway press headgear |
1,105 |
1,054 |
$25K |
| E1390 |
Oxygen concentrator |
369 |
332 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
59 |
52 |
$14K |
| A7038 |
Pos airway pressure filter |
1,425 |
1,337 |
$9K |
| A7031 |
Replacement facemask interfa |
291 |
265 |
$8K |
| E1392 |
Portable oxygen concentrator |
235 |
215 |
$5K |
| A7046 |
Repl water chamber, pap dev |
462 |
437 |
$5K |
| A7032 |
Replacement nasal cushion |
46 |
39 |
$1K |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$143.36 |