| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
6,153 |
3,950 |
$134K |
| A7030 |
Cpap full face mask |
3,613 |
2,330 |
$114K |
| E1390 |
Oxygen concentrator |
2,643 |
1,599 |
$79K |
| A7031 |
Replacement facemask interfa |
3,497 |
2,388 |
$76K |
| A4604 |
Tubing with heating element |
5,184 |
3,346 |
$54K |
| A7034 |
Nasal application device |
2,031 |
1,312 |
$38K |
| A7035 |
Pos airway press headgear |
3,453 |
2,232 |
$23K |
| A7038 |
Pos airway pressure filter |
6,651 |
4,451 |
$20K |
| A7032 |
Replacement nasal cushion |
807 |
569 |
$17K |
| E0562 |
Humidifier heated used w pap |
220 |
145 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
322 |
175 |
$10K |
| A7046 |
Repl water chamber, pap dev |
2,505 |
1,653 |
$9K |
| A7033 |
Replacement nasal pillows |
354 |
251 |
$7K |
| E0114 |
Crutch underarm pair no wood |
77 |
66 |
$2K |
| L3660 |
So 8 ab rstr can/web pre ots |
30 |
28 |
$1K |
| E0431 |
Portable gaseous 02 |
271 |
196 |
$1K |
| A7037 |
Pos airway pressure tubing |
126 |
79 |
$861.71 |
| A7039 |
Filter, non disposable w pap |
67 |
39 |
$149.63 |