| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7038 |
Pos airway pressure filter |
2,960 |
2,548 |
$69K |
| A7030 |
Cpap full face mask |
1,260 |
1,110 |
$42K |
| E0601 |
Cont airway pressure device |
1,946 |
1,745 |
$41K |
| A7031 |
Replacement facemask interfa |
1,162 |
1,026 |
$16K |
| A4305 |
Drug delivery system >=50 ml |
49 |
27 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,471 |
1,306 |
$8K |
| E0562 |
Humidifier heated used w pap |
869 |
771 |
$8K |
| A7035 |
Pos airway press headgear |
1,408 |
1,226 |
$7K |
| A4221 |
Supp non-insulin inf cath/wk |
262 |
125 |
$5K |
| A7039 |
Filter, non disposable w pap |
963 |
842 |
$2K |
| A7034 |
Nasal application device |
113 |
98 |
$2K |
| A7046 |
Repl water chamber, pap dev |
498 |
449 |
$2K |
| A7032 |
Replacement nasal cushion |
39 |
36 |
$207.71 |