| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,933 |
6,383 |
$231K |
| A7030 |
Cpap full face mask |
1,951 |
1,524 |
$93K |
| E0470 |
Rad w/o backup non-inv intfc |
1,643 |
1,273 |
$90K |
| E0562 |
Humidifier heated used w pap |
5,880 |
4,820 |
$77K |
| A4604 |
Tubing with heating element |
3,210 |
2,515 |
$65K |
| A7031 |
Replacement facemask interfa |
2,051 |
1,560 |
$37K |
| A7035 |
Pos airway press headgear |
2,590 |
2,046 |
$27K |
| A7034 |
Nasal application device |
842 |
647 |
$26K |
| A7038 |
Pos airway pressure filter |
4,112 |
3,173 |
$9K |
| A7046 |
Repl water chamber, pap dev |
803 |
587 |
$4K |
| A7033 |
Replacement nasal pillows |
72 |
52 |
$902.27 |
| A7032 |
Replacement nasal cushion |
17 |
12 |
$379.48 |