| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Replacement facemask interfa |
3,170 |
2,215 |
$47K |
| E0601 |
Cont airway pressure device |
2,352 |
1,797 |
$40K |
| A7030 |
Cpap full face mask |
1,275 |
957 |
$38K |
| A4604 |
Tubing with heating element |
1,589 |
1,259 |
$24K |
| E0562 |
Humidifier heated used w pap |
1,573 |
1,242 |
$14K |
| E1390 |
Oxygen concentrator |
585 |
462 |
$13K |
| A7032 |
Replacement nasal cushion |
713 |
514 |
$11K |
| A7038 |
Pos airway pressure filter |
4,701 |
3,363 |
$10K |
| A7033 |
Replacement nasal pillows |
593 |
427 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
326 |
221 |
$9K |
| A7035 |
Pos airway press headgear |
1,337 |
1,034 |
$9K |
| A7034 |
Nasal application device |
407 |
325 |
$8K |
| A7046 |
Repl water chamber, pap dev |
801 |
610 |
$3K |
| A7037 |
Pos airway pressure tubing |
119 |
98 |
$623.46 |