| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0471 |
Rad w/backup non inv intrfc |
1,279 |
1,245 |
$412K |
| E0601 |
Cont airway pressure device |
2,708 |
2,618 |
$233K |
| A7030 |
Cpap full face mask |
1,524 |
1,456 |
$120K |
| A4604 |
Tubing with heating element |
3,368 |
3,230 |
$99K |
| A7034 |
Nasal application device |
1,954 |
1,877 |
$99K |
| A7035 |
Pos airway press headgear |
3,116 |
3,000 |
$54K |
| S9999 |
Sales tax |
2,906 |
2,446 |
$50K |
| E0562 |
Humidifier heated used w pap |
265 |
255 |
$45K |
| A7031 |
Replacement facemask interfa |
1,367 |
1,209 |
$41K |
| A7038 |
Pos airway pressure filter |
5,486 |
5,259 |
$35K |
| A7032 |
Replacement nasal cushion |
768 |
673 |
$20K |
| A7046 |
Repl water chamber, pap dev |
2,194 |
2,118 |
$16K |
| A7039 |
Filter, non disposable w pap |
1,943 |
1,880 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
53 |
50 |
$10K |
| A7033 |
Replacement nasal pillows |
221 |
190 |
$4K |
| A7045 |
Repl exhalation port for pap |
1,334 |
1,309 |
$335.21 |
| A9279 |
Monitoring feature/devicenoc |
150 |
141 |
$131.92 |