| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,510 |
10,400 |
$740K |
| A7030 |
Cpap full face mask |
3,761 |
3,445 |
$295K |
| E0562 |
Humidifier heated used w pap |
2,223 |
2,019 |
$242K |
| A7034 |
Nasal application device |
2,414 |
2,194 |
$134K |
| A7037 |
Pos airway pressure tubing |
5,910 |
5,435 |
$114K |
| A7035 |
Pos airway press headgear |
4,217 |
3,839 |
$77K |
| A7031 |
Replacement facemask interfa |
2,329 |
2,057 |
$61K |
| E0470 |
Rad w/o backup non-inv intfc |
405 |
365 |
$60K |
| A7038 |
Pos airway pressure filter |
6,376 |
5,601 |
$34K |
| A7032 |
Replacement nasal cushion |
1,040 |
921 |
$34K |
| E1390 |
Oxygen concentrator |
569 |
456 |
$19K |
| A7039 |
Filter, non disposable w pap |
2,633 |
2,383 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,789 |
1,636 |
$13K |
| A7033 |
Replacement nasal pillows |
32 |
24 |
$472.53 |
| E0431 |
Portable gaseous 02 |
27 |
24 |
$98.40 |