| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,858 |
2,465 |
$86K |
| E0470 |
Rad w/o backup non-inv intfc |
571 |
495 |
$33K |
| A7030 |
Cpap full face mask |
898 |
804 |
$25K |
| A7037 |
Pos airway pressure tubing |
1,714 |
1,480 |
$20K |
| A7035 |
Pos airway press headgear |
975 |
847 |
$20K |
| E0562 |
Humidifier heated used w pap |
429 |
334 |
$11K |
| A7031 |
Replacement facemask interfa |
590 |
541 |
$9K |
| A7038 |
Pos airway pressure filter |
1,594 |
1,200 |
$7K |
| A7034 |
Nasal application device |
115 |
108 |
$2K |
| A7046 |
Repl water chamber, pap dev |
293 |
256 |
$1K |
| E1390 |
Oxygen concentrator |
40 |
36 |
$960.50 |
| A7032 |
Replacement nasal cushion |
15 |
13 |
$430.16 |
| A7039 |
Filter, non disposable w pap |
174 |
143 |
$410.33 |