| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0399 |
Home sleep test/type 3 porta |
1,993 |
1,912 |
$494K |
| 95806 |
|
3,288 |
3,259 |
$251K |
| E0601 |
Cont airway pressure device |
4,142 |
4,134 |
$205K |
| A7030 |
Cpap full face mask |
745 |
742 |
$90K |
| 95810 |
|
215 |
212 |
$67K |
| A4604 |
Tubing with heating element |
1,391 |
1,383 |
$64K |
| A7031 |
Replacement facemask interfa |
797 |
782 |
$52K |
| A7034 |
Nasal application device |
547 |
546 |
$34K |
| 95800 |
|
758 |
747 |
$29K |
| A7032 |
Replacement nasal cushion |
413 |
401 |
$23K |
| A7035 |
Pos airway press headgear |
915 |
911 |
$23K |
| A7038 |
Pos airway pressure filter |
1,873 |
1,841 |
$12K |
| A7033 |
Replacement nasal pillows |
152 |
150 |
$9K |
| E0562 |
Humidifier heated used w pap |
46 |
44 |
$6K |
| 95811 |
|
12 |
12 |
$4K |
| A7046 |
Repl water chamber, pap dev |
208 |
208 |
$3K |