| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,723 |
1,653 |
$141K |
| A4604 |
Tubing with heating element |
1,542 |
1,491 |
$55K |
| A7030 |
Cpap full face mask |
517 |
500 |
$48K |
| A7035 |
Pos airway press headgear |
1,441 |
1,387 |
$32K |
| S9999 |
Sales tax |
1,494 |
1,272 |
$29K |
| A7034 |
Nasal application device |
424 |
414 |
$26K |
| A7038 |
Pos airway pressure filter |
3,152 |
2,984 |
$20K |
| A7031 |
Replacement facemask interfa |
511 |
453 |
$12K |
| A7046 |
Repl water chamber, pap dev |
1,181 |
1,145 |
$12K |
| A7032 |
Replacement nasal cushion |
154 |
145 |
$3K |
| A7033 |
Replacement nasal pillows |
55 |
52 |
$961.99 |
| A7039 |
Filter, non disposable w pap |
109 |
107 |
$936.77 |
| A7045 |
Repl exhalation port for pap |
241 |
234 |
$103.16 |