| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
1,039 |
723 |
$19K |
| E0601 |
Cont airway pressure device |
1,231 |
928 |
$17K |
| A7031 |
Replacement facemask interfa |
1,517 |
1,052 |
$16K |
| A4604 |
Tubing with heating element |
1,594 |
1,127 |
$13K |
| A7038 |
Pos airway pressure filter |
3,012 |
2,165 |
$9K |
| E1390 |
Oxygen concentrator |
461 |
366 |
$7K |
| A7032 |
Replacement nasal cushion |
464 |
289 |
$5K |
| A7034 |
Nasal application device |
363 |
251 |
$4K |
| A7035 |
Pos airway press headgear |
802 |
534 |
$3K |
| A7046 |
Repl water chamber, pap dev |
578 |
391 |
$1K |
| E0466 |
Home vent non-invasive inter |
25 |
25 |
$1K |
| A7033 |
Replacement nasal pillows |
52 |
50 |
$435.49 |
| E0431 |
Portable gaseous 02 |
17 |
12 |
$30.59 |
| E0570 |
Nebulizer with compression |
17 |
13 |
$19.51 |