| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
13,319 |
13,201 |
$927K |
| A7030 |
Cpap full face mask |
6,695 |
6,661 |
$591K |
| E0562 |
Humidifier heated used w pap |
6,335 |
6,289 |
$366K |
| A7031 |
Replacement facemask interfa |
5,486 |
5,429 |
$252K |
| E0470 |
Rad w/o backup non-inv intfc |
701 |
698 |
$189K |
| A7034 |
Nasal application device |
5,339 |
5,306 |
$154K |
| A7032 |
Replacement nasal cushion |
3,631 |
3,600 |
$149K |
| A7035 |
Pos airway press headgear |
11,139 |
11,080 |
$133K |
| A7037 |
Pos airway pressure tubing |
10,468 |
10,422 |
$114K |
| A7038 |
Pos airway pressure filter |
14,694 |
14,568 |
$48K |
| A7033 |
Replacement nasal pillows |
1,033 |
1,021 |
$23K |
| A4604 |
Tubing with heating element |
1,387 |
1,373 |
$11K |
| A7036 |
Pos airway press chinstrap |
1,422 |
1,412 |
$11K |
| A7046 |
Repl water chamber, pap dev |
612 |
607 |
$1K |
| A7039 |
Filter, non disposable w pap |
316 |
315 |
$611.35 |
| K0195 |
Elevating whlchair leg rests |
12 |
12 |
$7.37 |
| A9279 |
Monitoring feature/devicenoc |
27 |
27 |
$0.00 |