| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,648 |
2,438 |
$60K |
| A7030 |
Cpap full face mask |
643 |
597 |
$32K |
| A4604 |
Tubing with heating element |
1,098 |
1,007 |
$28K |
| A7038 |
Pos airway pressure filter |
1,747 |
1,581 |
$18K |
| E0562 |
Humidifier heated used w pap |
150 |
148 |
$17K |
| A7031 |
Replacement facemask interfa |
669 |
598 |
$15K |
| A7035 |
Pos airway press headgear |
633 |
584 |
$13K |
| A7034 |
Nasal application device |
315 |
301 |
$13K |
| A7032 |
Replacement nasal cushion |
321 |
297 |
$7K |
| A7046 |
Repl water chamber, pap dev |
235 |
218 |
$3K |
| A7033 |
Replacement nasal pillows |
28 |
26 |
$234.58 |