| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,421 |
2,123 |
$57K |
| A7030 |
Cpap full face mask |
1,057 |
911 |
$42K |
| E1390 |
Oxygen concentrator |
1,358 |
1,154 |
$39K |
| A7031 |
Replacement facemask interfa |
1,661 |
1,421 |
$28K |
| A4604 |
Tubing with heating element |
1,262 |
1,092 |
$24K |
| A7034 |
Nasal application device |
602 |
552 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,381 |
1,248 |
$14K |
| A7032 |
Replacement nasal cushion |
646 |
597 |
$13K |
| A7038 |
Pos airway pressure filter |
4,580 |
4,054 |
$12K |
| A7035 |
Pos airway press headgear |
1,234 |
1,094 |
$11K |
| A7033 |
Replacement nasal pillows |
420 |
381 |
$6K |
| A7037 |
Pos airway pressure tubing |
377 |
347 |
$3K |
| E1392 |
Portable oxygen concentrator |
160 |
130 |
$1K |
| A7046 |
Repl water chamber, pap dev |
277 |
242 |
$1K |
| E0570 |
Nebulizer with compression |
18 |
12 |
$504.89 |
| A7036 |
Pos airway press chinstrap |
41 |
39 |
$266.60 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$51.58 |
| E0431 |
Portable gaseous 02 |
14 |
13 |
$27.09 |