| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,665 |
2,391 |
$247K |
| E0562 |
Humidifier heated used w pap |
722 |
547 |
$93K |
| A4239 |
Non-adju cgm supply allow |
406 |
392 |
$85K |
| A7030 |
Cpap full face mask |
560 |
496 |
$58K |
| A4604 |
Tubing with heating element |
1,574 |
1,308 |
$54K |
| A7034 |
Nasal application device |
912 |
767 |
$53K |
| E1390 |
Oxygen concentrator |
458 |
451 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
266 |
245 |
$35K |
| A7035 |
Pos airway press headgear |
1,091 |
899 |
$22K |
| A7031 |
Replacement facemask interfa |
543 |
477 |
$21K |
| A7032 |
Replacement nasal cushion |
271 |
241 |
$11K |
| A7038 |
Pos airway pressure filter |
1,781 |
1,487 |
$10K |
| E1392 |
Portable oxygen concentrator |
321 |
318 |
$9K |
| E2103 |
Non-adju cgm receiver/mon |
33 |
33 |
$7K |
| A7033 |
Replacement nasal pillows |
174 |
161 |
$5K |
| A7046 |
Repl water chamber, pap dev |
299 |
272 |
$3K |
| A7036 |
Pos airway press chinstrap |
55 |
53 |
$612.94 |