| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,213 |
1,057 |
$29K |
| A7031 |
Replacement facemask interfa |
940 |
764 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,433 |
1,252 |
$12K |
| E1390 |
Oxygen concentrator |
418 |
338 |
$8K |
| A7030 |
Cpap full face mask |
144 |
121 |
$7K |
| A7033 |
Replacement nasal pillows |
233 |
204 |
$4K |
| A7038 |
Pos airway pressure filter |
1,498 |
1,240 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
73 |
62 |
$3K |
| A7035 |
Pos airway press headgear |
257 |
225 |
$3K |
| E0466 |
Home vent non-invasive inter |
63 |
53 |
$3K |
| A4604 |
Tubing with heating element |
79 |
61 |
$2K |
| A7034 |
Nasal application device |
62 |
59 |
$2K |
| A7037 |
Pos airway pressure tubing |
199 |
173 |
$1K |
| A7032 |
Replacement nasal cushion |
41 |
37 |
$870.55 |
| A7039 |
Filter, non disposable w pap |
74 |
61 |
$306.93 |