| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,451 |
1,987 |
$232K |
| A7030 |
Cpap full face mask |
946 |
781 |
$86K |
| A4604 |
Tubing with heating element |
1,853 |
1,526 |
$60K |
| A7034 |
Nasal application device |
859 |
710 |
$49K |
| A7035 |
Pos airway press headgear |
1,720 |
1,478 |
$37K |
| E0562 |
Humidifier heated used w pap |
204 |
170 |
$31K |
| A7031 |
Replacement facemask interfa |
650 |
522 |
$20K |
| T1999 |
Noc retail items andsupplies |
2,267 |
1,962 |
$14K |
| A7038 |
Pos airway pressure filter |
2,095 |
1,820 |
$13K |
| A7046 |
Repl water chamber, pap dev |
1,021 |
894 |
$11K |
| A7039 |
Filter, non disposable w pap |
832 |
704 |
$6K |
| E0570 |
Nebulizer with compression |
166 |
110 |
$4K |
| A7032 |
Replacement nasal cushion |
48 |
36 |
$1K |
| A4253 |
Blood glucose/reagent strips |
51 |
50 |
$340.71 |