| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7033 |
Replacement nasal pillows |
7,015 |
6,929 |
$284K |
| E0601 |
Cont airway pressure device |
587 |
579 |
$233K |
| E1390 |
Oxygen concentrator |
1,900 |
1,856 |
$207K |
| A7034 |
Nasal application device |
2,606 |
2,576 |
$206K |
| A4604 |
Tubing with heating element |
3,680 |
3,656 |
$179K |
| A7030 |
Cpap full face mask |
1,539 |
1,521 |
$163K |
| A7038 |
Pos airway pressure filter |
22,525 |
22,274 |
$157K |
| A7032 |
Replacement nasal cushion |
5,359 |
5,309 |
$152K |
| E0443 |
Portable 02 contents, gas |
186 |
150 |
$133K |
| A7035 |
Pos airway press headgear |
4,283 |
4,192 |
$113K |
| A7031 |
Replacement facemask interfa |
2,528 |
2,480 |
$106K |
| E0562 |
Humidifier heated used w pap |
342 |
341 |
$73K |
| E1392 |
Portable oxygen concentrator |
1,118 |
1,102 |
$39K |
| A7046 |
Repl water chamber, pap dev |
2,423 |
2,406 |
$36K |
| E0570 |
Nebulizer with compression |
80 |
80 |
$11K |
| E0431 |
Portable gaseous 02 |
144 |
130 |
$9K |
| A7037 |
Pos airway pressure tubing |
301 |
295 |
$8K |
| A7005 |
Nondisposable nebulizer set |
27 |
27 |
$871.43 |