| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,050 |
3,047 |
$354K |
| A7030 |
Cpap full face mask |
881 |
881 |
$136K |
| E0562 |
Humidifier heated used w pap |
592 |
592 |
$135K |
| G0399 |
Home sleep test/type 3 porta |
241 |
241 |
$92K |
| A7034 |
Nasal application device |
880 |
879 |
$85K |
| A4604 |
Tubing with heating element |
1,301 |
1,300 |
$72K |
| A7035 |
Pos airway press headgear |
1,418 |
1,416 |
$43K |
| A7038 |
Pos airway pressure filter |
1,948 |
1,945 |
$27K |
| A7031 |
Replacement facemask interfa |
289 |
289 |
$19K |
| A7037 |
Pos airway pressure tubing |
438 |
438 |
$15K |
| A7032 |
Replacement nasal cushion |
230 |
229 |
$12K |
| A7046 |
Repl water chamber, pap dev |
634 |
633 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
26 |
26 |
$7K |
| A7039 |
Filter, non disposable w pap |
407 |
407 |
$5K |
| A7033 |
Replacement nasal pillows |
127 |
127 |
$5K |