| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
3,575 |
3,060 |
$106K |
| E1390 |
Oxygen concentrator |
4,466 |
3,718 |
$88K |
| E0601 |
Cont airway pressure device |
4,378 |
3,801 |
$83K |
| A7031 |
Replacement facemask interfa |
5,669 |
4,800 |
$82K |
| A4604 |
Tubing with heating element |
5,707 |
4,869 |
$75K |
| A7032 |
Replacement nasal cushion |
2,633 |
2,275 |
$47K |
| A7034 |
Nasal application device |
2,439 |
2,076 |
$46K |
| E0470 |
Rad w/o backup non-inv intfc |
963 |
837 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,930 |
1,669 |
$33K |
| A7035 |
Pos airway press headgear |
3,290 |
2,816 |
$22K |
| A7038 |
Pos airway pressure filter |
10,011 |
8,463 |
$20K |
| A7033 |
Replacement nasal pillows |
1,052 |
842 |
$12K |
| A7046 |
Repl water chamber, pap dev |
2,294 |
1,987 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,482 |
1,223 |
$8K |
| E0431 |
Portable gaseous 02 |
1,737 |
1,540 |
$7K |
| E0570 |
Nebulizer with compression |
313 |
278 |
$1K |