| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,519 |
1,010 |
$13K |
| A7038 |
Pos airway pressure filter |
7,955 |
4,869 |
$4K |
| A7034 |
Nasal application device |
4,223 |
2,600 |
$3K |
| A7030 |
Cpap full face mask |
3,644 |
2,230 |
$3K |
| A7032 |
Replacement nasal cushion |
2,771 |
1,681 |
$3K |
| A7035 |
Pos airway press headgear |
3,928 |
2,460 |
$2K |
| A4604 |
Tubing with heating element |
3,576 |
2,222 |
$2K |
| A7031 |
Replacement facemask interfa |
3,773 |
2,299 |
$2K |
| A7046 |
Repl water chamber, pap dev |
3,045 |
1,888 |
$1K |
| A7037 |
Pos airway pressure tubing |
3,865 |
2,334 |
$1K |
| A7039 |
Filter, non disposable w pap |
1,467 |
910 |
$381.87 |
| A7033 |
Replacement nasal pillows |
1,038 |
616 |
$317.62 |
| E1390 |
Oxygen concentrator |
14 |
12 |
$225.00 |