| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,618 |
1,435 |
$133K |
| E0562 |
Humidifier heated used w pap |
246 |
172 |
$27K |
| A4604 |
Tubing with heating element |
896 |
696 |
$27K |
| E1390 |
Oxygen concentrator |
430 |
404 |
$22K |
| A7034 |
Nasal application device |
370 |
292 |
$21K |
| A7030 |
Cpap full face mask |
178 |
155 |
$15K |
| A4239 |
Non-adju cgm supply allow |
73 |
61 |
$11K |
| A7035 |
Pos airway press headgear |
459 |
356 |
$8K |
| E1392 |
Portable oxygen concentrator |
338 |
316 |
$6K |
| A7038 |
Pos airway pressure filter |
1,076 |
838 |
$6K |
| A7031 |
Replacement facemask interfa |
163 |
134 |
$5K |
| A7032 |
Replacement nasal cushion |
69 |
57 |
$2K |
| A7046 |
Repl water chamber, pap dev |
48 |
40 |
$418.81 |