| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
29 |
29 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
48 |
48 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
48 |
48 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$827.04 |
| A4927 |
Gloves, non-sterile, per 100 |
35 |
35 |
$656.88 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
84 |
83 |
$599.78 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
13 |
$594.97 |