| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
22,244 |
22,025 |
$417K |
| 95811 |
|
10,451 |
7,346 |
$386K |
| E0470 |
Rad w/o backup non-inv intfc |
6,428 |
6,388 |
$320K |
| 95810 |
|
8,593 |
6,112 |
$317K |
| E0562 |
Humidifier heated used w pap |
14,241 |
14,095 |
$188K |
| A7030 |
Cpap full face mask |
4,879 |
4,808 |
$132K |
| A4604 |
Tubing with heating element |
9,256 |
9,130 |
$119K |
| A7034 |
Nasal application device |
3,716 |
3,670 |
$74K |
| A7035 |
Pos airway press headgear |
8,427 |
8,303 |
$55K |
| A7031 |
Replacement facemask interfa |
3,345 |
3,329 |
$49K |
| A7038 |
Pos airway pressure filter |
12,658 |
12,479 |
$26K |
| A7032 |
Replacement nasal cushion |
2,024 |
2,012 |
$21K |
| A7033 |
Replacement nasal pillows |
1,689 |
1,678 |
$17K |
| A7046 |
Repl water chamber, pap dev |
5,742 |
5,659 |
$16K |
| 95782 |
|
132 |
95 |
$10K |
| A7039 |
Filter, non disposable w pap |
3,591 |
3,505 |
$9K |
| A7036 |
Pos airway press chinstrap |
1,156 |
1,153 |
$4K |
| 95806 |
|
59 |
28 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
3,425 |
3,369 |
$495.00 |
| 99243 |
|
12 |
12 |
$205.55 |
| G0399 |
Home sleep test/type 3 porta |
56 |
38 |
$174.66 |
| A7037 |
Pos airway pressure tubing |
35 |
35 |
$152.51 |