| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
2,167 |
2,060 |
$139K |
| A7031 |
Replacement facemask interfa |
2,728 |
2,558 |
$105K |
| E0601 |
Cont airway pressure device |
2,694 |
2,531 |
$104K |
| E1390 |
Oxygen concentrator |
1,895 |
1,662 |
$99K |
| A4604 |
Tubing with heating element |
2,906 |
2,760 |
$69K |
| A7034 |
Nasal application device |
1,563 |
1,510 |
$65K |
| E0470 |
Rad w/o backup non-inv intfc |
688 |
647 |
$52K |
| A7032 |
Replacement nasal cushion |
1,229 |
1,076 |
$47K |
| A7033 |
Replacement nasal pillows |
1,047 |
925 |
$32K |
| E0562 |
Humidifier heated used w pap |
297 |
275 |
$31K |
| A7038 |
Pos airway pressure filter |
5,682 |
4,999 |
$28K |
| A7035 |
Pos airway press headgear |
2,109 |
1,997 |
$26K |
| A7046 |
Repl water chamber, pap dev |
1,433 |
1,371 |
$10K |
| K0738 |
Portable gas oxygen system |
638 |
587 |
$8K |
| A7037 |
Pos airway pressure tubing |
630 |
608 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,431 |
1,347 |
$7K |