| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
8,057 |
7,908 |
$369K |
| A7031 |
Replacement facemask interfa |
10,945 |
10,702 |
$254K |
| A7034 |
Nasal application device |
7,561 |
7,468 |
$215K |
| A7032 |
Replacement nasal cushion |
5,700 |
5,601 |
$162K |
| A4604 |
Tubing with heating element |
7,886 |
7,758 |
$139K |
| A7033 |
Replacement nasal pillows |
4,993 |
4,910 |
$107K |
| E0601 |
Cont airway pressure device |
6,120 |
6,004 |
$107K |
| A7035 |
Pos airway press headgear |
8,700 |
8,588 |
$85K |
| A7037 |
Pos airway pressure tubing |
8,020 |
7,898 |
$70K |
| A7038 |
Pos airway pressure filter |
22,108 |
21,589 |
$70K |
| A7046 |
Repl water chamber, pap dev |
7,714 |
7,564 |
$46K |
| E0562 |
Humidifier heated used w pap |
5,605 |
5,486 |
$37K |
| E0470 |
Rad w/o backup non-inv intfc |
808 |
794 |
$24K |
| E0471 |
Rad w/backup non inv intrfc |
221 |
205 |
$20K |
| E1390 |
Oxygen concentrator |
226 |
226 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,400 |
1,370 |
$5K |
| A7036 |
Pos airway press chinstrap |
152 |
147 |
$777.17 |