| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,916 |
1,778 |
$219K |
| A7030 |
Cpap full face mask |
1,068 |
1,011 |
$139K |
| A4604 |
Tubing with heating element |
2,578 |
2,451 |
$107K |
| A7032 |
Replacement nasal cushion |
3,686 |
3,529 |
$107K |
| A7038 |
Pos airway pressure filter |
12,100 |
11,620 |
$78K |
| A7034 |
Nasal application device |
941 |
902 |
$75K |
| A7035 |
Pos airway press headgear |
2,279 |
2,154 |
$62K |
| A7033 |
Replacement nasal pillows |
1,682 |
1,597 |
$33K |
| A7046 |
Repl water chamber, pap dev |
1,984 |
1,886 |
$24K |
| E0562 |
Humidifier heated used w pap |
186 |
147 |
$24K |
| A7031 |
Replacement facemask interfa |
466 |
437 |
$22K |
| A7039 |
Filter, non disposable w pap |
348 |
341 |
$3K |
| A7045 |
Repl exhalation port for pap |
29 |
29 |
$123.75 |