| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
|
1,967 |
1,967 |
$699K |
| 95811 |
|
1,364 |
1,352 |
$494K |
| E0601 |
Cont airway pressure device |
3,587 |
3,579 |
$254K |
| E0470 |
Rad w/o backup non-inv intfc |
923 |
920 |
$151K |
| A7030 |
Cpap full face mask |
667 |
660 |
$91K |
| A7031 |
Replacement facemask interfa |
1,082 |
1,069 |
$76K |
| E0562 |
Humidifier heated used w pap |
314 |
314 |
$71K |
| A7038 |
Pos airway pressure filter |
1,995 |
1,981 |
$42K |
| A7037 |
Pos airway pressure tubing |
1,489 |
1,475 |
$40K |
| A7035 |
Pos airway press headgear |
1,247 |
1,228 |
$37K |
| A7032 |
Replacement nasal cushion |
447 |
446 |
$36K |
| A7034 |
Nasal application device |
347 |
342 |
$32K |
| A7033 |
Replacement nasal pillows |
51 |
50 |
$6K |
| A7046 |
Repl water chamber, pap dev |
144 |
144 |
$2K |
| A7036 |
Pos airway press chinstrap |
143 |
143 |
$2K |
| A7039 |
Filter, non disposable w pap |
84 |
84 |
$835.40 |