| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,866 |
5,770 |
$363K |
| E0562 |
Humidifier heated used w pap |
1,071 |
1,048 |
$185K |
| E0470 |
Rad w/o backup non-inv intfc |
988 |
962 |
$164K |
| E1390 |
Oxygen concentrator |
779 |
768 |
$56K |
| A7030 |
Cpap full face mask |
462 |
448 |
$49K |
| A7035 |
Pos airway press headgear |
1,212 |
1,174 |
$41K |
| A4604 |
Tubing with heating element |
448 |
438 |
$24K |
| A7034 |
Nasal application device |
261 |
253 |
$17K |
| A7037 |
Pos airway pressure tubing |
616 |
608 |
$15K |
| E0445 |
Oximeter non-invasive |
54 |
52 |
$13K |
| A7038 |
Pos airway pressure filter |
2,999 |
2,486 |
$9K |
| A7039 |
Filter, non disposable w pap |
677 |
665 |
$6K |
| 99457 |
|
55 |
55 |
$2K |
| 99458 |
|
56 |
56 |
$2K |
| A7031 |
Replacement facemask interfa |
15 |
15 |
$628.39 |
| 95806 |
|
12 |
12 |
$0.00 |