| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,770 |
5,215 |
$930K |
| A7030 |
Cpap full face mask |
3,513 |
3,236 |
$360K |
| E0562 |
Humidifier heated used w pap |
1,713 |
1,516 |
$217K |
| A7031 |
Replacement facemask interfa |
4,885 |
3,960 |
$161K |
| A7037 |
Pos airway pressure tubing |
5,003 |
4,635 |
$128K |
| A7034 |
Nasal application device |
1,402 |
1,284 |
$101K |
| A7035 |
Pos airway press headgear |
3,474 |
3,170 |
$80K |
| A7038 |
Pos airway pressure filter |
12,401 |
9,962 |
$75K |
| A7032 |
Replacement nasal cushion |
1,787 |
1,449 |
$68K |
| A7033 |
Replacement nasal pillows |
909 |
753 |
$24K |
| A7046 |
Repl water chamber, pap dev |
1,469 |
1,357 |
$15K |
| E1390 |
Oxygen concentrator |
16 |
12 |
$2K |
| E0431 |
Portable gaseous 02 |
40 |
37 |
$166.53 |