| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,095 |
1,035 |
$65K |
| A7031 |
Replacement facemask interfa |
1,475 |
1,353 |
$37K |
| A7037 |
Pos airway pressure tubing |
1,717 |
1,559 |
$18K |
| A7030 |
Cpap full face mask |
265 |
254 |
$17K |
| A7032 |
Replacement nasal cushion |
447 |
430 |
$13K |
| A7035 |
Pos airway press headgear |
803 |
757 |
$12K |
| A7034 |
Nasal application device |
217 |
200 |
$9K |
| A7038 |
Pos airway pressure filter |
2,575 |
2,341 |
$8K |
| A7046 |
Repl water chamber, pap dev |
630 |
598 |
$7K |
| A7045 |
Repl exhalation port for pap |
649 |
618 |
$6K |
| A7039 |
Filter, non disposable w pap |
717 |
671 |
$5K |
| E0562 |
Humidifier heated used w pap |
17 |
15 |
$2K |
| E1390 |
Oxygen concentrator |
38 |
36 |
$2K |
| A7033 |
Replacement nasal pillows |
27 |
25 |
$674.29 |