| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
204 |
190 |
$29K |
| E0601 |
Cont airway pressure device |
209 |
199 |
$22K |
| A4595 |
Tens suppl 2 lead per month |
1,099 |
1,032 |
$21K |
| E0562 |
Humidifier heated used w pap |
245 |
234 |
$5K |
| A7038 |
Pos airway pressure filter |
655 |
620 |
$3K |
| A7037 |
Pos airway pressure tubing |
210 |
206 |
$3K |
| A7031 |
Replacement facemask interfa |
76 |
76 |
$3K |
| A7035 |
Pos airway press headgear |
136 |
132 |
$2K |
| A7030 |
Cpap full face mask |
16 |
15 |
$804.90 |
| A7039 |
Filter, non disposable w pap |
115 |
112 |
$637.26 |