| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,547 |
4,008 |
$361K |
| A7030 |
Cpap full face mask |
2,933 |
2,571 |
$270K |
| A7031 |
Replacement facemask interfa |
6,025 |
5,392 |
$211K |
| A7034 |
Nasal application device |
2,769 |
2,388 |
$163K |
| A7032 |
Replacement nasal cushion |
3,179 |
2,799 |
$125K |
| E0562 |
Humidifier heated used w pap |
4,559 |
4,064 |
$117K |
| E0470 |
Rad w/o backup non-inv intfc |
548 |
474 |
$87K |
| A4604 |
Tubing with heating element |
2,338 |
2,057 |
$76K |
| A7035 |
Pos airway press headgear |
3,700 |
3,213 |
$72K |
| A7037 |
Pos airway pressure tubing |
3,412 |
2,945 |
$68K |
| A7033 |
Replacement nasal pillows |
2,304 |
1,972 |
$66K |
| A7038 |
Pos airway pressure filter |
11,192 |
9,816 |
$60K |
| A7039 |
Filter, non disposable w pap |
1,932 |
1,664 |
$14K |
| A7046 |
Repl water chamber, pap dev |
240 |
203 |
$2K |
| E1390 |
Oxygen concentrator |
13 |
12 |
$1K |
| A7036 |
Pos airway press chinstrap |
17 |
17 |
$212.87 |