| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,539 |
2,981 |
$70K |
| A7030 |
Cpap full face mask |
1,534 |
1,259 |
$59K |
| E1390 |
Oxygen concentrator |
2,695 |
1,844 |
$56K |
| A7034 |
Nasal application device |
1,663 |
1,398 |
$38K |
| A7031 |
Replacement facemask interfa |
2,059 |
1,722 |
$38K |
| A4604 |
Tubing with heating element |
1,340 |
1,212 |
$35K |
| E0562 |
Humidifier heated used w pap |
2,759 |
2,500 |
$23K |
| A7035 |
Pos airway press headgear |
2,051 |
1,719 |
$18K |
| A7032 |
Replacement nasal cushion |
815 |
693 |
$13K |
| E0431 |
Portable gaseous 02 |
2,283 |
1,570 |
$10K |
| A7037 |
Pos airway pressure tubing |
2,115 |
1,702 |
$10K |
| A7038 |
Pos airway pressure filter |
5,478 |
4,630 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,366 |
1,176 |
$8K |
| A7033 |
Replacement nasal pillows |
484 |
437 |
$7K |
| E0570 |
Nebulizer with compression |
1,067 |
734 |
$2K |
| A7039 |
Filter, non disposable w pap |
114 |
79 |
$120.42 |