| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
958 |
318 |
$12K |
| E0471 |
Rad w/backup non inv intrfc |
122 |
41 |
$7K |
| A7030 |
Cpap full face mask |
47 |
44 |
$6K |
| A7031 |
Replacement facemask interfa |
115 |
111 |
$4K |
| E0562 |
Humidifier heated used w pap |
1,166 |
385 |
$4K |
| A7037 |
Pos airway pressure tubing |
131 |
123 |
$3K |
| A7035 |
Pos airway press headgear |
90 |
80 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
16 |
15 |
$1K |
| A7038 |
Pos airway pressure filter |
160 |
158 |
$1K |
| V5266 |
Battery for hearing device |
38 |
38 |
$457.32 |
| L3908 |
Who cock-up nonmolde pre ots |
16 |
12 |
$432.93 |
| A7046 |
Repl water chamber, pap dev |
30 |
28 |
$390.00 |