| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
1,599 |
1,394 |
$113K |
| E0601 |
Cont airway pressure device |
3,411 |
2,898 |
$87K |
| E0562 |
Humidifier heated used w pap |
2,116 |
1,843 |
$59K |
| A7034 |
Nasal application device |
1,098 |
962 |
$49K |
| A7031 |
Replacement facemask interfa |
1,710 |
1,442 |
$44K |
| A7035 |
Pos airway press headgear |
2,014 |
1,763 |
$34K |
| A7037 |
Pos airway pressure tubing |
1,491 |
1,325 |
$29K |
| A7038 |
Pos airway pressure filter |
3,382 |
2,797 |
$13K |
| A7032 |
Replacement nasal cushion |
813 |
622 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,266 |
1,100 |
$9K |
| A4604 |
Tubing with heating element |
795 |
723 |
$5K |
| A7033 |
Replacement nasal pillows |
268 |
248 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
53 |
50 |
$2K |
| E1390 |
Oxygen concentrator |
13 |
13 |
$2K |
| E0570 |
Nebulizer with compression |
43 |
38 |
$229.18 |