| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,009 |
3,368 |
$327K |
| A7031 |
Replacement facemask interfa |
7,176 |
6,422 |
$318K |
| A7030 |
Cpap full face mask |
2,335 |
2,000 |
$186K |
| E0562 |
Humidifier heated used w pap |
2,517 |
2,248 |
$93K |
| A7037 |
Pos airway pressure tubing |
3,883 |
3,367 |
$71K |
| A7038 |
Pos airway pressure filter |
7,826 |
6,993 |
$45K |
| A7035 |
Pos airway press headgear |
2,133 |
1,853 |
$38K |
| A7032 |
Replacement nasal cushion |
339 |
306 |
$7K |
| A7034 |
Nasal application device |
52 |
48 |
$2K |
| A7033 |
Replacement nasal pillows |
130 |
126 |
$2K |
| A4604 |
Tubing with heating element |
14 |
12 |
$371.85 |