| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7038 |
Filter, disposable, used with positive airway pressure device |
126 |
109 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
27 |
27 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
30 |
29 |
$816.79 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$417.69 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$408.66 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
12 |
$388.76 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$325.40 |