| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
3,797 |
3,093 |
$113K |
| E0601 |
Cont airway pressure device |
6,592 |
5,539 |
$112K |
| A4604 |
Tubing with heating element |
6,588 |
5,489 |
$91K |
| E1390 |
Oxygen concentrator |
2,948 |
2,408 |
$90K |
| A7031 |
Replacement facemask interfa |
5,777 |
4,701 |
$84K |
| A7034 |
Nasal application device |
2,984 |
2,539 |
$64K |
| A7032 |
Replacement nasal cushion |
3,263 |
2,808 |
$58K |
| E0562 |
Humidifier heated used w pap |
2,247 |
1,903 |
$45K |
| A7035 |
Pos airway press headgear |
3,724 |
3,067 |
$26K |
| A7038 |
Pos airway pressure filter |
11,192 |
9,295 |
$24K |
| A7033 |
Replacement nasal pillows |
1,439 |
1,214 |
$22K |
| A7046 |
Repl water chamber, pap dev |
2,675 |
2,247 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
150 |
118 |
$4K |
| E0431 |
Portable gaseous 02 |
381 |
345 |
$3K |
| E1392 |
Portable oxygen concentrator |
180 |
150 |
$2K |
| E0570 |
Nebulizer with compression |
246 |
233 |
$550.20 |
| A7036 |
Pos airway press chinstrap |
48 |
40 |
$154.50 |