| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,074 |
970 |
$164K |
| E1390 |
Oxygen concentrator |
1,064 |
1,041 |
$55K |
| A7030 |
Cpap full face mask |
503 |
495 |
$46K |
| A4604 |
Tubing with heating element |
980 |
969 |
$39K |
| A7031 |
Replacement facemask interfa |
631 |
589 |
$25K |
| A7034 |
Nasal application device |
289 |
285 |
$18K |
| A7035 |
Pos airway press headgear |
665 |
653 |
$13K |
| E0562 |
Humidifier heated used w pap |
71 |
66 |
$11K |
| A7038 |
Pos airway pressure filter |
1,625 |
1,471 |
$7K |
| E1392 |
Portable oxygen concentrator |
531 |
515 |
$6K |
| A7032 |
Replacement nasal cushion |
137 |
115 |
$4K |
| K0553 |
Ther cgm supply allowance |
20 |
13 |
$2K |
| A7046 |
Repl water chamber, pap dev |
159 |
159 |
$2K |
| E0570 |
Nebulizer with compression |
13 |
12 |
$201.25 |