| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,340 |
4,707 |
$298K |
| A7030 |
Cpap full face mask |
3,067 |
2,727 |
$271K |
| E0470 |
Rad w/o backup non-inv intfc |
1,883 |
1,656 |
$175K |
| E0562 |
Humidifier heated used w pap |
3,598 |
3,144 |
$135K |
| A7034 |
Nasal application device |
2,468 |
2,239 |
$96K |
| A7035 |
Pos airway press headgear |
3,479 |
3,115 |
$67K |
| A7031 |
Replacement facemask interfa |
1,952 |
1,776 |
$57K |
| E0570 |
Nebulizer with compression |
1,336 |
1,152 |
$44K |
| A7038 |
Pos airway pressure filter |
6,678 |
6,018 |
$32K |
| A7032 |
Replacement nasal cushion |
1,954 |
1,746 |
$29K |
| A7046 |
Repl water chamber, pap dev |
1,823 |
1,633 |
$17K |
| A7039 |
Filter, non disposable w pap |
2,346 |
2,119 |
$17K |
| A7037 |
Pos airway pressure tubing |
4,283 |
3,848 |
$10K |
| A4385 |
Ost skn barrier sld ext wear |
163 |
115 |
$3K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
52 |
29 |
$2K |
| A6212 |
Foam drg <=16 sq in w/border |
61 |
37 |
$2K |
| A7005 |
Nondisposable nebulizer set |
58 |
54 |
$1K |
| A4604 |
Tubing with heating element |
326 |
299 |
$949.84 |
| A4450 |
Non-waterproof tape |
367 |
278 |
$637.13 |
| A6196 |
Alginate dressing <=16 sq in |
17 |
12 |
$537.73 |
| A6216 |
Non-sterile gauze<=16 sq in |
16 |
13 |
$67.50 |