| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,156 |
4,249 |
$90K |
| A7030 |
Cpap full face mask |
2,461 |
1,948 |
$81K |
| A7034 |
Nasal application device |
2,486 |
2,003 |
$55K |
| A4604 |
Tubing with heating element |
3,207 |
2,586 |
$50K |
| A7031 |
Replacement facemask interfa |
3,222 |
2,616 |
$49K |
| A7032 |
Replacement nasal cushion |
2,461 |
2,020 |
$41K |
| E0562 |
Humidifier heated used w pap |
2,475 |
1,996 |
$38K |
| A7033 |
Replacement nasal pillows |
1,423 |
1,189 |
$23K |
| A7035 |
Pos airway press headgear |
2,787 |
2,212 |
$20K |
| A7038 |
Pos airway pressure filter |
8,256 |
6,616 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,617 |
1,335 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,613 |
1,254 |
$7K |
| A7039 |
Filter, non disposable w pap |
1,175 |
883 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
73 |
62 |
$2K |
| E1390 |
Oxygen concentrator |
88 |
82 |
$879.23 |
| A7036 |
Pos airway press chinstrap |
26 |
24 |
$123.86 |
| E1392 |
Portable oxygen concentrator |
16 |
14 |
$0.00 |