| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,870 |
3,691 |
$303K |
| A7030 |
Cpap full face mask |
2,128 |
2,018 |
$158K |
| A4604 |
Tubing with heating element |
4,128 |
3,959 |
$116K |
| A7034 |
Nasal application device |
2,318 |
2,243 |
$115K |
| E1390 |
Oxygen concentrator |
2,204 |
2,053 |
$107K |
| E0562 |
Humidifier heated used w pap |
536 |
523 |
$82K |
| A7035 |
Pos airway press headgear |
3,396 |
3,289 |
$65K |
| A7038 |
Pos airway pressure filter |
4,594 |
4,412 |
$25K |
| A7031 |
Replacement facemask interfa |
1,152 |
1,049 |
$24K |
| A7046 |
Repl water chamber, pap dev |
1,918 |
1,856 |
$18K |
| A7039 |
Filter, non disposable w pap |
2,114 |
2,054 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
158 |
141 |
$13K |
| E1392 |
Portable oxygen concentrator |
643 |
570 |
$9K |
| K0738 |
Portable gas oxygen system |
512 |
497 |
$9K |
| A7032 |
Replacement nasal cushion |
313 |
295 |
$7K |
| A7033 |
Replacement nasal pillows |
27 |
27 |
$986.82 |
| A7036 |
Pos airway press chinstrap |
48 |
45 |
$429.88 |