| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,831 |
7,500 |
$533K |
| A7034 |
Nasal application device |
4,712 |
4,536 |
$244K |
| E0562 |
Humidifier heated used w pap |
1,722 |
1,665 |
$232K |
| A4604 |
Tubing with heating element |
7,159 |
6,899 |
$208K |
| A7030 |
Cpap full face mask |
2,958 |
2,860 |
$206K |
| E1390 |
Oxygen concentrator |
4,078 |
3,844 |
$142K |
| A7035 |
Pos airway press headgear |
5,944 |
5,779 |
$113K |
| E0471 |
Rad w/backup non inv intrfc |
232 |
223 |
$45K |
| A7038 |
Pos airway pressure filter |
7,928 |
7,625 |
$44K |
| A7031 |
Replacement facemask interfa |
1,872 |
1,769 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
432 |
408 |
$40K |
| A7046 |
Repl water chamber, pap dev |
3,476 |
3,385 |
$33K |
| A7032 |
Replacement nasal cushion |
1,324 |
1,259 |
$31K |
| E1392 |
Portable oxygen concentrator |
1,430 |
1,352 |
$22K |
| K0738 |
Portable gas oxygen system |
1,310 |
1,251 |
$21K |
| A7033 |
Replacement nasal pillows |
746 |
691 |
$14K |
| E0570 |
Nebulizer with compression |
224 |
194 |
$2K |
| A7036 |
Pos airway press chinstrap |
197 |
185 |
$2K |
| A7039 |
Filter, non disposable w pap |
27 |
26 |
$137.08 |