| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,764 |
2,325 |
$123K |
| E0470 |
Rad w/o backup non-inv intfc |
763 |
671 |
$78K |
| A7030 |
Cpap full face mask |
1,200 |
975 |
$74K |
| A7031 |
Replacement facemask interfa |
2,097 |
1,703 |
$66K |
| A4604 |
Tubing with heating element |
1,752 |
1,411 |
$48K |
| E0562 |
Humidifier heated used w pap |
3,024 |
2,549 |
$47K |
| A7032 |
Replacement nasal cushion |
1,175 |
983 |
$45K |
| A7034 |
Nasal application device |
785 |
669 |
$36K |
| A5500 |
Diab shoe for density insert |
1,417 |
659 |
$27K |
| A7033 |
Replacement nasal pillows |
633 |
547 |
$20K |
| A7038 |
Pos airway pressure filter |
4,528 |
3,694 |
$20K |
| A7035 |
Pos airway press headgear |
1,295 |
1,076 |
$18K |
| A5512 |
Multi den insert direct form |
1,217 |
507 |
$14K |
| A7046 |
Repl water chamber, pap dev |
675 |
555 |
$6K |
| K0003 |
Lightweight wheelchair |
271 |
211 |
$1K |
| A7037 |
Pos airway pressure tubing |
110 |
87 |
$1K |