| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Replacement facemask interfa |
9,424 |
6,664 |
$678K |
| A7032 |
Replacement nasal cushion |
7,545 |
5,510 |
$654K |
| E0601 |
Cont airway pressure device |
10,580 |
9,668 |
$638K |
| A7030 |
Cpap full face mask |
5,744 |
4,917 |
$625K |
| A7034 |
Nasal application device |
6,256 |
5,498 |
$431K |
| A4604 |
Tubing with heating element |
10,620 |
9,185 |
$416K |
| E0470 |
Rad w/o backup non-inv intfc |
1,939 |
1,768 |
$252K |
| A7035 |
Pos airway press headgear |
9,748 |
8,494 |
$220K |
| A7033 |
Replacement nasal pillows |
2,769 |
2,111 |
$163K |
| E0562 |
Humidifier heated used w pap |
813 |
694 |
$133K |
| A7038 |
Pos airway pressure filter |
19,336 |
14,145 |
$130K |
| A7037 |
Pos airway pressure tubing |
4,072 |
3,654 |
$96K |
| E1399 |
Durable medical equipment mi |
5,038 |
3,620 |
$92K |
| A7046 |
Repl water chamber, pap dev |
6,016 |
5,187 |
$71K |
| A7039 |
Filter, non disposable w pap |
5,396 |
4,666 |
$40K |
| 94660 |
|
258 |
206 |
$5K |
| A7036 |
Pos airway press chinstrap |
30 |
24 |
$180.11 |
| S9999 |
Sales tax |
8,208 |
2,490 |
$2.46 |