| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,073 |
1,500 |
$59K |
| A7030 |
Cpap full face mask |
1,200 |
942 |
$55K |
| A7031 |
Replacement facemask interfa |
1,702 |
1,350 |
$48K |
| E0562 |
Humidifier heated used w pap |
2,637 |
1,910 |
$20K |
| A7034 |
Nasal application device |
548 |
457 |
$19K |
| A7032 |
Replacement nasal cushion |
445 |
349 |
$14K |
| A7038 |
Pos airway pressure filter |
2,598 |
2,056 |
$10K |
| A7035 |
Pos airway press headgear |
1,005 |
811 |
$10K |
| A4604 |
Tubing with heating element |
719 |
577 |
$9K |
| A7037 |
Pos airway pressure tubing |
801 |
646 |
$9K |
| A7033 |
Replacement nasal pillows |
66 |
53 |
$2K |
| A7046 |
Repl water chamber, pap dev |
465 |
375 |
$1K |
| A7039 |
Filter, non disposable w pap |
94 |
79 |
$272.99 |