| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,908 |
1,571 |
$97K |
| A7030 |
Cpap full face mask |
492 |
442 |
$46K |
| A4604 |
Tubing with heating element |
1,040 |
916 |
$36K |
| A7031 |
Replacement facemask interfa |
651 |
561 |
$23K |
| A7035 |
Pos airway press headgear |
1,071 |
931 |
$17K |
| E0562 |
Humidifier heated used w pap |
216 |
195 |
$17K |
| A7034 |
Nasal application device |
203 |
175 |
$12K |
| A7038 |
Pos airway pressure filter |
1,692 |
1,470 |
$8K |
| A7046 |
Repl water chamber, pap dev |
315 |
276 |
$4K |
| A7039 |
Filter, non disposable w pap |
265 |
230 |
$2K |
| A7032 |
Replacement nasal cushion |
28 |
25 |
$2K |