| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,826 |
1,823 |
$20K |
| A7030 |
Cpap full face mask |
662 |
659 |
$15K |
| A7031 |
Replacement facemask interfa |
546 |
540 |
$13K |
| A7034 |
Nasal application device |
718 |
717 |
$11K |
| A7038 |
Pos airway pressure filter |
2,102 |
1,968 |
$6K |
| A7035 |
Pos airway press headgear |
874 |
873 |
$4K |
| A7032 |
Replacement nasal cushion |
93 |
93 |
$4K |
| A7037 |
Pos airway pressure tubing |
709 |
707 |
$2K |
| A4604 |
Tubing with heating element |
476 |
476 |
$413.14 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$314.76 |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$218.10 |
| A7046 |
Repl water chamber, pap dev |
25 |
25 |
$0.00 |