| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
2,489 |
2,485 |
$62K |
| A7031 |
Replacement facemask interfa |
2,498 |
2,483 |
$59K |
| E0601 |
Cont airway pressure device |
4,611 |
4,584 |
$57K |
| A7034 |
Nasal application device |
2,043 |
2,034 |
$32K |
| A7032 |
Replacement nasal cushion |
972 |
961 |
$26K |
| A7038 |
Pos airway pressure filter |
4,547 |
4,505 |
$14K |
| E1390 |
Oxygen concentrator |
623 |
616 |
$13K |
| A7033 |
Replacement nasal pillows |
572 |
561 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
482 |
481 |
$11K |
| A7035 |
Pos airway press headgear |
2,457 |
2,446 |
$10K |
| A4604 |
Tubing with heating element |
3,687 |
3,674 |
$7K |
| E0562 |
Humidifier heated used w pap |
123 |
123 |
$3K |
| A7037 |
Pos airway pressure tubing |
520 |
517 |
$2K |
| E0431 |
Portable gaseous 02 |
138 |
137 |
$562.64 |
| A7046 |
Repl water chamber, pap dev |
1,637 |
1,632 |
$514.95 |