| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,800 |
1,761 |
$187K |
| A7030 |
Cpap full face mask |
1,061 |
1,056 |
$105K |
| E0562 |
Humidifier heated used w pap |
466 |
465 |
$84K |
| A4604 |
Tubing with heating element |
1,342 |
1,338 |
$66K |
| A7031 |
Replacement facemask interfa |
1,130 |
1,128 |
$60K |
| A7033 |
Replacement nasal pillows |
1,186 |
1,132 |
$47K |
| A7038 |
Pos airway pressure filter |
6,189 |
6,129 |
$42K |
| A7035 |
Pos airway press headgear |
1,418 |
1,410 |
$38K |
| A7046 |
Repl water chamber, pap dev |
964 |
958 |
$15K |
| A9279 |
Monitoring feature/devicenoc |
448 |
446 |
$7K |
| A7034 |
Nasal application device |
75 |
75 |
$5K |
| A7039 |
Filter, non disposable w pap |
58 |
58 |
$903.21 |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$372.24 |