| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
|
823 |
822 |
$114K |
| 95811 |
|
661 |
660 |
$96K |
| E0601 |
Cont airway pressure device |
481 |
471 |
$83K |
| E0562 |
Humidifier heated used w pap |
210 |
208 |
$46K |
| A7030 |
Cpap full face mask |
377 |
375 |
$28K |
| A4604 |
Tubing with heating element |
465 |
462 |
$23K |
| A7035 |
Pos airway press headgear |
522 |
520 |
$16K |
| A7038 |
Pos airway pressure filter |
1,615 |
1,584 |
$13K |
| A7039 |
Filter, non disposable w pap |
390 |
388 |
$6K |
| A7033 |
Replacement nasal pillows |
133 |
127 |
$5K |
| A7034 |
Nasal application device |
41 |
41 |
$4K |
| A7046 |
Repl water chamber, pap dev |
206 |
206 |
$3K |
| A7037 |
Pos airway pressure tubing |
77 |
76 |
$2K |
| 95806 |
|
14 |
14 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
84 |
83 |
$1K |
| A7031 |
Replacement facemask interfa |
38 |
38 |
$1K |
| A7032 |
Replacement nasal cushion |
28 |
28 |
$868.56 |