| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
4,060 |
2,606 |
$138K |
| E0601 |
Cont airway pressure device |
6,507 |
4,140 |
$104K |
| A7031 |
Replacement facemask interfa |
3,233 |
2,075 |
$64K |
| A4604 |
Tubing with heating element |
4,315 |
2,849 |
$63K |
| E0562 |
Humidifier heated used w pap |
1,934 |
1,342 |
$49K |
| A7034 |
Nasal application device |
1,641 |
1,113 |
$39K |
| A7035 |
Pos airway press headgear |
3,657 |
2,420 |
$29K |
| E0470 |
Rad w/o backup non-inv intfc |
623 |
392 |
$17K |
| A7038 |
Pos airway pressure filter |
5,485 |
3,698 |
$17K |
| E1390 |
Oxygen concentrator |
95 |
76 |
$8K |
| A7046 |
Repl water chamber, pap dev |
2,202 |
1,453 |
$7K |
| A7032 |
Replacement nasal cushion |
380 |
276 |
$6K |
| A7037 |
Pos airway pressure tubing |
723 |
469 |
$3K |
| A7039 |
Filter, non disposable w pap |
419 |
298 |
$2K |