| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,943 |
5,664 |
$279K |
| A7030 |
Cpap full face mask |
2,048 |
1,949 |
$210K |
| A7031 |
Replacement facemask interfa |
4,064 |
3,922 |
$190K |
| A4604 |
Tubing with heating element |
3,863 |
3,678 |
$153K |
| E0562 |
Humidifier heated used w pap |
2,293 |
2,118 |
$103K |
| A7032 |
Replacement nasal cushion |
1,730 |
1,691 |
$95K |
| A7034 |
Nasal application device |
1,186 |
1,136 |
$79K |
| E1390 |
Oxygen concentrator |
865 |
843 |
$76K |
| A7035 |
Pos airway press headgear |
2,466 |
2,372 |
$57K |
| A7038 |
Pos airway pressure filter |
8,058 |
7,661 |
$45K |
| E0470 |
Rad w/o backup non-inv intfc |
294 |
283 |
$37K |
| A7033 |
Replacement nasal pillows |
651 |
634 |
$29K |
| A7046 |
Repl water chamber, pap dev |
1,524 |
1,470 |
$21K |
| E0570 |
Nebulizer with compression |
90 |
90 |
$3K |
| A7037 |
Pos airway pressure tubing |
122 |
115 |
$3K |
| E1392 |
Portable oxygen concentrator |
50 |
49 |
$2K |
| K0738 |
Portable gas oxygen system |
13 |
13 |
$555.55 |
| A7005 |
Nondisposable nebulizer set |
15 |
15 |
$290.95 |