| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,616 |
2,560 |
$238K |
| A7030 |
Cpap full face mask |
1,170 |
1,133 |
$110K |
| A4604 |
Tubing with heating element |
2,638 |
2,565 |
$92K |
| A7034 |
Nasal application device |
1,292 |
1,248 |
$83K |
| A7035 |
Pos airway press headgear |
2,164 |
2,106 |
$51K |
| A7031 |
Replacement facemask interfa |
783 |
747 |
$45K |
| A7038 |
Pos airway pressure filter |
3,394 |
3,302 |
$28K |
| E0562 |
Humidifier heated used w pap |
106 |
104 |
$20K |
| A7046 |
Repl water chamber, pap dev |
1,261 |
1,220 |
$15K |
| A7032 |
Replacement nasal cushion |
190 |
175 |
$10K |
| A7033 |
Replacement nasal pillows |
57 |
56 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$2K |