| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,947 |
11,365 |
$712K |
| E0562 |
Humidifier heated used w pap |
2,761 |
2,663 |
$351K |
| A7034 |
Nasal application device |
6,869 |
6,605 |
$343K |
| A4604 |
Tubing with heating element |
10,256 |
9,864 |
$291K |
| A7030 |
Cpap full face mask |
3,933 |
3,779 |
$274K |
| E1390 |
Oxygen concentrator |
4,914 |
4,627 |
$195K |
| A7035 |
Pos airway press headgear |
8,478 |
8,214 |
$157K |
| E0470 |
Rad w/o backup non-inv intfc |
888 |
830 |
$90K |
| E0471 |
Rad w/backup non inv intrfc |
427 |
398 |
$85K |
| A7038 |
Pos airway pressure filter |
11,011 |
10,559 |
$59K |
| A7031 |
Replacement facemask interfa |
2,506 |
2,351 |
$55K |
| A7046 |
Repl water chamber, pap dev |
4,886 |
4,724 |
$45K |
| A7032 |
Replacement nasal cushion |
1,908 |
1,752 |
$43K |
| E1392 |
Portable oxygen concentrator |
2,432 |
2,277 |
$40K |
| A7033 |
Replacement nasal pillows |
1,754 |
1,649 |
$31K |
| K0738 |
Portable gas oxygen system |
1,467 |
1,393 |
$20K |
| E0570 |
Nebulizer with compression |
456 |
423 |
$5K |
| A7036 |
Pos airway press chinstrap |
436 |
411 |
$4K |
| A7039 |
Filter, non disposable w pap |
39 |
38 |
$326.10 |