| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,016 |
8,963 |
$291K |
| A7030 |
Cpap full face mask |
3,603 |
3,056 |
$268K |
| E0562 |
Humidifier heated used w pap |
8,412 |
6,967 |
$219K |
| A7034 |
Nasal application device |
2,846 |
2,460 |
$145K |
| A7031 |
Replacement facemask interfa |
4,132 |
3,402 |
$99K |
| A7035 |
Pos airway press headgear |
4,764 |
4,065 |
$88K |
| A7037 |
Pos airway pressure tubing |
4,193 |
3,629 |
$87K |
| E0470 |
Rad w/o backup non-inv intfc |
722 |
589 |
$31K |
| A7038 |
Pos airway pressure filter |
7,952 |
6,453 |
$29K |
| A7032 |
Replacement nasal cushion |
1,656 |
1,332 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,708 |
2,321 |
$21K |
| A7033 |
Replacement nasal pillows |
1,574 |
1,312 |
$19K |
| A4604 |
Tubing with heating element |
1,699 |
1,479 |
$7K |
| E1390 |
Oxygen concentrator |
77 |
61 |
$2K |
| A7039 |
Filter, non disposable w pap |
305 |
266 |
$2K |
| A7036 |
Pos airway press chinstrap |
16 |
12 |
$110.50 |
| E0431 |
Portable gaseous 02 |
15 |
13 |
$63.26 |