| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
2,067 |
1,636 |
$43K |
| A7031 |
Replacement facemask interfa |
3,509 |
2,701 |
$36K |
| A7032 |
Replacement nasal cushion |
3,151 |
2,398 |
$30K |
| A4604 |
Tubing with heating element |
3,503 |
2,713 |
$27K |
| E0601 |
Cont airway pressure device |
2,227 |
1,857 |
$26K |
| A7034 |
Nasal application device |
2,250 |
1,742 |
$25K |
| E1390 |
Oxygen concentrator |
1,665 |
1,193 |
$17K |
| A7038 |
Pos airway pressure filter |
7,848 |
6,107 |
$11K |
| A7035 |
Pos airway press headgear |
1,957 |
1,518 |
$8K |
| E0562 |
Humidifier heated used w pap |
152 |
127 |
$6K |
| A7033 |
Replacement nasal pillows |
829 |
654 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,900 |
1,463 |
$4K |
| E1392 |
Portable oxygen concentrator |
928 |
668 |
$3K |
| A7037 |
Pos airway pressure tubing |
589 |
487 |
$2K |
| E0431 |
Portable gaseous 02 |
248 |
161 |
$479.12 |
| A7039 |
Filter, non disposable w pap |
251 |
201 |
$419.27 |
| K0001 |
Standard wheelchair |
128 |
92 |
$384.89 |
| A7036 |
Pos airway press chinstrap |
88 |
70 |
$127.11 |
| E0570 |
Nebulizer with compression |
98 |
70 |
$86.00 |