| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
2,217 |
2,038 |
$141K |
| E0601 |
Cont airway pressure device |
6,878 |
4,332 |
$94K |
| A7031 |
Replacement facemask interfa |
3,580 |
3,254 |
$67K |
| E0562 |
Humidifier heated used w pap |
8,568 |
4,884 |
$50K |
| E0470 |
Rad w/o backup non-inv intfc |
1,706 |
1,169 |
$49K |
| A7037 |
Pos airway pressure tubing |
3,022 |
2,788 |
$43K |
| A7035 |
Pos airway press headgear |
2,879 |
2,630 |
$37K |
| L4387 |
Non-pneum walk boot pre ots |
381 |
344 |
$28K |
| A7038 |
Pos airway pressure filter |
4,736 |
4,370 |
$16K |
| L3908 |
Who cock-up nonmolde pre ots |
604 |
505 |
$14K |
| A7034 |
Nasal application device |
285 |
263 |
$12K |
| A7046 |
Repl water chamber, pap dev |
1,397 |
1,310 |
$9K |
| A7032 |
Replacement nasal cushion |
64 |
63 |
$1K |
| L3809 |
Whfo w/o joints pre ots |
16 |
14 |
$795.78 |
| L3260 |
Ambulatory surgical boot eac |
42 |
39 |
$606.28 |
| A4604 |
Tubing with heating element |
51 |
50 |
$232.60 |
| A4627 |
Spacer bag/reservoir |
15 |
14 |
$161.17 |
| V5266 |
Battery for hearing device |
861 |
836 |
$12.36 |