| Code | Description | Claims | Beneficiaries | Total Paid |
| V5266 |
Battery for hearing device |
185 |
172 |
$2K |
| A7031 |
Replacement facemask interfa |
116 |
108 |
$1K |
| E0601 |
Cont airway pressure device |
160 |
131 |
$1K |
| E0562 |
Humidifier heated used w pap |
113 |
82 |
$622.34 |
| A7030 |
Cpap full face mask |
27 |
25 |
$576.13 |
| L3908 |
Who cock-up nonmolde pre ots |
17 |
14 |
$481.38 |
| A7037 |
Pos airway pressure tubing |
104 |
93 |
$361.26 |
| A7035 |
Pos airway press headgear |
84 |
76 |
$329.45 |
| E0470 |
Rad w/o backup non-inv intfc |
14 |
14 |
$284.37 |
| A7038 |
Pos airway pressure filter |
137 |
129 |
$170.11 |
| A6402 |
Sterile gauze <= 16 sq in |
16 |
13 |
$47.19 |
| A7046 |
Repl water chamber, pap dev |
15 |
13 |
$12.13 |