| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
8,486 |
7,227 |
$722K |
| A7030 |
Cpap full face mask |
6,206 |
5,511 |
$562K |
| A7031 |
Replacement facemask interfa |
8,509 |
7,466 |
$518K |
| A7034 |
Nasal application device |
5,929 |
5,175 |
$321K |
| A7032 |
Replacement nasal cushion |
4,948 |
4,233 |
$312K |
| A4604 |
Tubing with heating element |
8,944 |
7,905 |
$287K |
| E0470 |
Rad w/o backup non-inv intfc |
2,743 |
2,318 |
$226K |
| E0562 |
Humidifier heated used w pap |
1,835 |
1,613 |
$220K |
| A7038 |
Pos airway pressure filter |
16,159 |
14,103 |
$150K |
| A7033 |
Replacement nasal pillows |
3,059 |
2,616 |
$136K |
| A7035 |
Pos airway press headgear |
7,191 |
6,334 |
$134K |
| E1390 |
Oxygen concentrator |
2,350 |
1,891 |
$110K |
| E0471 |
Rad w/backup non inv intrfc |
468 |
376 |
$74K |
| A7037 |
Pos airway pressure tubing |
2,657 |
2,337 |
$49K |
| A7046 |
Repl water chamber, pap dev |
4,920 |
4,384 |
$45K |
| A7039 |
Filter, non disposable w pap |
5,003 |
4,392 |
$34K |
| A7045 |
Repl exhalation port for pap |
1,431 |
1,274 |
$11K |
| E1392 |
Portable oxygen concentrator |
550 |
412 |
$6K |
| E0570 |
Nebulizer with compression |
135 |
127 |
$1K |
| A7036 |
Pos airway press chinstrap |
42 |
40 |
$420.25 |