| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,705 |
2,703 |
$57K |
| A7032 |
Replacement nasal cushion |
845 |
844 |
$49K |
| E0470 |
Rad w/o backup non-inv intfc |
235 |
233 |
$34K |
| A4604 |
Tubing with heating element |
1,926 |
1,924 |
$31K |
| A7031 |
Replacement facemask interfa |
852 |
848 |
$23K |
| A7034 |
Nasal application device |
568 |
568 |
$17K |
| E0562 |
Humidifier heated used w pap |
122 |
122 |
$14K |
| A7038 |
Pos airway pressure filter |
2,450 |
2,447 |
$14K |
| A7035 |
Pos airway press headgear |
1,088 |
1,086 |
$10K |
| A7030 |
Cpap full face mask |
159 |
158 |
$7K |
| A7033 |
Replacement nasal pillows |
149 |
149 |
$5K |
| A7046 |
Repl water chamber, pap dev |
649 |
648 |
$5K |
| A7039 |
Filter, non disposable w pap |
85 |
85 |
$170.42 |