| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
1,374 |
1,354 |
$117K |
| A4604 |
Tubing with heating element |
2,062 |
2,030 |
$70K |
| E0601 |
Cont airway pressure device |
1,681 |
1,597 |
$66K |
| A7031 |
Replacement facemask interfa |
1,881 |
1,834 |
$62K |
| A7034 |
Nasal application device |
573 |
568 |
$29K |
| A7032 |
Replacement nasal cushion |
940 |
928 |
$29K |
| A7038 |
Pos airway pressure filter |
4,992 |
4,777 |
$22K |
| A7035 |
Pos airway press headgear |
1,222 |
1,198 |
$21K |
| A7046 |
Repl water chamber, pap dev |
827 |
817 |
$9K |
| A7033 |
Replacement nasal pillows |
247 |
246 |
$6K |
| E0562 |
Humidifier heated used w pap |
13 |
13 |
$2K |
| A7039 |
Filter, non disposable w pap |
86 |
84 |
$376.01 |