| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
10,821 |
10,788 |
$977K |
| E0601 |
Cont airway pressure device |
9,443 |
9,405 |
$881K |
| A7031 |
Replacement facemask interfa |
16,848 |
16,787 |
$668K |
| A4604 |
Tubing with heating element |
16,963 |
16,927 |
$592K |
| A7034 |
Nasal application device |
6,613 |
6,605 |
$381K |
| E0470 |
Rad w/o backup non-inv intfc |
2,581 |
2,578 |
$336K |
| E1390 |
Oxygen concentrator |
3,383 |
3,373 |
$305K |
| A7032 |
Replacement nasal cushion |
6,028 |
6,011 |
$277K |
| E0562 |
Humidifier heated used w pap |
13,004 |
12,941 |
$270K |
| A7038 |
Pos airway pressure filter |
40,988 |
40,815 |
$252K |
| A7033 |
Replacement nasal pillows |
6,541 |
6,518 |
$235K |
| A7035 |
Pos airway press headgear |
8,723 |
8,699 |
$152K |
| E0471 |
Rad w/backup non inv intrfc |
350 |
350 |
$88K |
| A7046 |
Repl water chamber, pap dev |
8,121 |
8,095 |
$85K |
| A9901 |
Delivery/set up/dispensing |
12,010 |
11,994 |
$82K |
| A7039 |
Filter, non disposable w pap |
1,867 |
1,865 |
$11K |
| A7037 |
Pos airway pressure tubing |
117 |
117 |
$420.74 |