| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,562 |
1,463 |
$113K |
| A4604 |
Tubing with heating element |
1,062 |
1,010 |
$29K |
| S9999 |
Sales tax |
1,269 |
1,123 |
$25K |
| A7034 |
Nasal application device |
421 |
396 |
$20K |
| A7030 |
Cpap full face mask |
268 |
251 |
$18K |
| A7035 |
Pos airway press headgear |
1,020 |
966 |
$16K |
| A7038 |
Pos airway pressure filter |
1,853 |
1,759 |
$10K |
| A7031 |
Replacement facemask interfa |
345 |
315 |
$9K |
| A7032 |
Replacement nasal cushion |
153 |
137 |
$4K |
| A7046 |
Repl water chamber, pap dev |
583 |
554 |
$4K |
| E0562 |
Humidifier heated used w pap |
31 |
30 |
$4K |
| A7039 |
Filter, non disposable w pap |
339 |
326 |
$3K |
| A7045 |
Repl exhalation port for pap |
297 |
285 |
$260.18 |
| A9279 |
Monitoring feature/devicenoc |
12 |
12 |
$0.00 |