| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Replacement facemask interfa |
2,195 |
974 |
$91K |
| E0601 |
Cont airway pressure device |
1,980 |
1,895 |
$86K |
| A7030 |
Cpap full face mask |
833 |
802 |
$78K |
| A4604 |
Tubing with heating element |
1,259 |
1,215 |
$45K |
| A7034 |
Nasal application device |
312 |
308 |
$21K |
| A7038 |
Pos airway pressure filter |
6,437 |
1,517 |
$19K |
| A7035 |
Pos airway press headgear |
781 |
750 |
$15K |
| E0562 |
Humidifier heated used w pap |
77 |
75 |
$9K |
| A7046 |
Repl water chamber, pap dev |
587 |
570 |
$5K |
| A7032 |
Replacement nasal cushion |
206 |
47 |
$4K |
| A7033 |
Replacement nasal pillows |
118 |
26 |
$2K |
| E1390 |
Oxygen concentrator |
29 |
24 |
$2K |
| A7037 |
Pos airway pressure tubing |
20 |
19 |
$181.89 |