| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2510 |
Sgd w multi methods msg/accs |
266 |
220 |
$1.66M |
| K0823 |
Pwc gp 2 std cap chair |
920 |
716 |
$85K |
| E0601 |
Cont airway pressure device |
618 |
598 |
$21K |
| E0562 |
Humidifier heated used w pap |
300 |
288 |
$12K |
| A4604 |
Tubing with heating element |
159 |
155 |
$5K |
| A7030 |
Cpap full face mask |
82 |
78 |
$5K |
| A7035 |
Pos airway press headgear |
119 |
115 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$1K |
| A7038 |
Pos airway pressure filter |
270 |
252 |
$829.98 |
| E0247 |
Trans bench w/wo comm open |
17 |
13 |
$733.80 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$290.93 |
| K0739 |
Repair/svc dme non-oxygen eq |
15 |
13 |
$213.07 |
| A7046 |
Repl water chamber, pap dev |
50 |
46 |
$107.82 |