| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
8,306 |
7,978 |
$662K |
| E0562 |
Humidifier heated used w pap |
2,071 |
1,989 |
$304K |
| A7030 |
Cpap full face mask |
3,482 |
3,361 |
$303K |
| A7034 |
Nasal application device |
4,273 |
4,120 |
$245K |
| A4604 |
Tubing with heating element |
7,178 |
6,924 |
$236K |
| E1390 |
Oxygen concentrator |
3,358 |
3,123 |
$178K |
| A7035 |
Pos airway press headgear |
6,393 |
6,199 |
$135K |
| A7031 |
Replacement facemask interfa |
1,949 |
1,812 |
$49K |
| A7038 |
Pos airway pressure filter |
8,189 |
7,865 |
$48K |
| E0470 |
Rad w/o backup non-inv intfc |
223 |
215 |
$43K |
| A7046 |
Repl water chamber, pap dev |
3,612 |
3,500 |
$37K |
| E1392 |
Portable oxygen concentrator |
1,707 |
1,529 |
$30K |
| A7032 |
Replacement nasal cushion |
1,096 |
996 |
$25K |
| E0471 |
Rad w/backup non inv intrfc |
65 |
63 |
$21K |
| A7033 |
Replacement nasal pillows |
361 |
339 |
$7K |
| K0738 |
Portable gas oxygen system |
344 |
336 |
$6K |
| A7039 |
Filter, non disposable w pap |
357 |
347 |
$3K |
| A7036 |
Pos airway press chinstrap |
120 |
117 |
$1K |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$217.67 |