| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93271 |
|
474 |
433 |
$32K |
| A7030 |
Cpap full face mask |
849 |
848 |
$7K |
| 93268 |
|
25 |
25 |
$5K |
| A7034 |
Nasal application device |
755 |
755 |
$3K |
| A4604 |
Tubing with heating element |
1,212 |
1,211 |
$3K |
| A7031 |
Replacement facemask interfa |
826 |
826 |
$2K |
| A7035 |
Pos airway press headgear |
935 |
934 |
$1K |
| A7032 |
Replacement nasal cushion |
488 |
488 |
$1K |
| A7037 |
Pos airway pressure tubing |
271 |
271 |
$892.52 |
| A7046 |
Repl water chamber, pap dev |
848 |
848 |
$815.12 |
| A7038 |
Pos airway pressure filter |
1,642 |
1,642 |
$564.20 |
| 93226 |
|
26 |
25 |
$561.07 |
| A7039 |
Filter, non disposable w pap |
415 |
415 |
$309.94 |
| A7033 |
Replacement nasal pillows |
25 |
25 |
$142.42 |