| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,285 |
4,658 |
$364K |
| A4239 |
Non-adju cgm supply allow |
1,071 |
903 |
$189K |
| E0562 |
Humidifier heated used w pap |
1,459 |
1,250 |
$180K |
| E0470 |
Rad w/o backup non-inv intfc |
1,082 |
940 |
$109K |
| A7030 |
Cpap full face mask |
1,282 |
1,117 |
$105K |
| A7034 |
Nasal application device |
1,750 |
1,557 |
$97K |
| A4604 |
Tubing with heating element |
2,958 |
2,623 |
$92K |
| A7031 |
Replacement facemask interfa |
1,236 |
1,063 |
$44K |
| E1390 |
Oxygen concentrator |
1,045 |
920 |
$40K |
| A7035 |
Pos airway press headgear |
2,094 |
1,824 |
$38K |
| E2103 |
Non-adju cgm receiver/mon |
199 |
182 |
$33K |
| A7032 |
Replacement nasal cushion |
772 |
652 |
$31K |
| A7038 |
Pos airway pressure filter |
3,156 |
2,776 |
$21K |
| A7033 |
Replacement nasal pillows |
625 |
551 |
$20K |
| E0471 |
Rad w/backup non inv intrfc |
49 |
48 |
$16K |
| E1392 |
Portable oxygen concentrator |
711 |
625 |
$9K |
| A7046 |
Repl water chamber, pap dev |
630 |
570 |
$6K |
| E0570 |
Nebulizer with compression |
280 |
247 |
$3K |
| A7036 |
Pos airway press chinstrap |
327 |
298 |
$3K |