| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,326 |
1,308 |
$69K |
| A7030 |
Cpap full face mask |
212 |
211 |
$18K |
| A7037 |
Pos airway pressure tubing |
366 |
365 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
119 |
119 |
$11K |
| E0561 |
Humidifier nonheated w pap |
1,270 |
1,263 |
$10K |
| A7035 |
Pos airway press headgear |
367 |
363 |
$8K |
| A7034 |
Nasal application device |
132 |
132 |
$7K |
| E0570 |
Nebulizer with compression |
212 |
207 |
$6K |
| A7038 |
Pos airway pressure filter |
973 |
941 |
$5K |
| A7031 |
Replacement facemask interfa |
77 |
77 |
$3K |
| E1390 |
Oxygen concentrator |
27 |
27 |
$2K |
| A7046 |
Repl water chamber, pap dev |
159 |
159 |
$1K |
| A4604 |
Tubing with heating element |
55 |
55 |
$737.16 |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$262.25 |
| E0562 |
Humidifier heated used w pap |
180 |
180 |
$256.43 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$116.82 |