| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,815 |
1,801 |
$40K |
| A7030 |
Cpap full face mask |
820 |
805 |
$38K |
| A7031 |
Replacement facemask interfa |
1,116 |
1,074 |
$36K |
| E1390 |
Oxygen concentrator |
673 |
643 |
$22K |
| A7034 |
Nasal application device |
275 |
267 |
$9K |
| A7038 |
Pos airway pressure filter |
1,843 |
1,771 |
$8K |
| A7035 |
Pos airway press headgear |
674 |
661 |
$6K |
| A7037 |
Pos airway pressure tubing |
502 |
491 |
$6K |
| A7032 |
Replacement nasal cushion |
98 |
94 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
24 |
24 |
$2K |
| A7046 |
Repl water chamber, pap dev |
497 |
487 |
$1K |
| E0431 |
Portable gaseous 02 |
127 |
126 |
$787.32 |
| A4604 |
Tubing with heating element |
463 |
455 |
$673.74 |
| E0562 |
Humidifier heated used w pap |
13 |
13 |
$632.00 |
| A7039 |
Filter, non disposable w pap |
70 |
70 |
$201.89 |