| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,075 |
10,800 |
$826K |
| A7034 |
Nasal application device |
4,467 |
4,387 |
$397K |
| A7030 |
Cpap full face mask |
2,417 |
2,348 |
$332K |
| E0470 |
Rad w/o backup non-inv intfc |
1,365 |
1,327 |
$240K |
| A4604 |
Tubing with heating element |
4,289 |
4,182 |
$213K |
| E0562 |
Humidifier heated used w pap |
5,437 |
5,233 |
$169K |
| A7035 |
Pos airway press headgear |
4,489 |
4,391 |
$136K |
| A7038 |
Pos airway pressure filter |
6,651 |
6,403 |
$78K |
| A7033 |
Replacement nasal pillows |
1,582 |
1,545 |
$75K |
| E1390 |
Oxygen concentrator |
711 |
685 |
$73K |
| A7037 |
Pos airway pressure tubing |
2,323 |
2,286 |
$68K |
| A7032 |
Replacement nasal cushion |
876 |
861 |
$60K |
| A7031 |
Replacement facemask interfa |
780 |
746 |
$44K |
| A7039 |
Filter, non disposable w pap |
1,617 |
1,591 |
$16K |
| A7046 |
Repl water chamber, pap dev |
971 |
951 |
$14K |
| E0431 |
Portable gaseous 02 |
376 |
358 |
$6K |
| A7036 |
Pos airway press chinstrap |
145 |
144 |
$2K |