| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
1,157 |
917 |
$65K |
| A4604 |
Tubing with heating element |
2,088 |
1,683 |
$47K |
| A7034 |
Nasal application device |
910 |
775 |
$42K |
| A7031 |
Replacement facemask interfa |
1,271 |
1,016 |
$30K |
| E0601 |
Cont airway pressure device |
760 |
671 |
$15K |
| A7035 |
Pos airway press headgear |
1,188 |
988 |
$13K |
| A7032 |
Replacement nasal cushion |
359 |
299 |
$12K |
| A7038 |
Pos airway pressure filter |
3,040 |
2,403 |
$10K |
| A7046 |
Repl water chamber, pap dev |
759 |
654 |
$6K |
| A7033 |
Replacement nasal pillows |
136 |
119 |
$3K |
| E0562 |
Humidifier heated used w pap |
13 |
12 |
$1K |