| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7032 |
Replacement nasal cushion |
1,930 |
1,906 |
$96K |
| E0601 |
Cont airway pressure device |
450 |
427 |
$75K |
| A7031 |
Replacement facemask interfa |
1,287 |
1,276 |
$58K |
| A7038 |
Pos airway pressure filter |
3,209 |
3,172 |
$20K |
| A7037 |
Pos airway pressure tubing |
664 |
662 |
$14K |
| E0562 |
Humidifier heated used w pap |
301 |
286 |
$12K |
| A7034 |
Nasal application device |
149 |
149 |
$11K |
| A7030 |
Cpap full face mask |
59 |
58 |
$7K |
| A4554 |
Disposable underpads |
125 |
125 |
$4K |
| A4335 |
Incontinence supply |
450 |
449 |
$2K |
| A7035 |
Pos airway press headgear |
23 |
23 |
$572.61 |
| A7036 |
Pos airway press chinstrap |
44 |
44 |
$402.16 |
| A7039 |
Filter, non disposable w pap |
39 |
39 |
$353.63 |
| E0561 |
Humidifier nonheated w pap |
20 |
17 |
$106.63 |
| 99091 |
|
74 |
74 |
$0.00 |
| A7005 |
Nondisposable nebulizer set |
17 |
17 |
$0.00 |
| A7013 |
Disposable compressor filter |
17 |
17 |
$0.00 |
| A7015 |
Aerosol mask used w nebulize |
17 |
17 |
$0.00 |
| A7016 |
Nebulizer dome & mouthpiece |
17 |
17 |
$0.00 |
| E0570 |
Nebulizer with compression |
17 |
17 |
$0.00 |