| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,623 |
1,620 |
$600K |
| A7033 |
Replacement nasal pillows |
7,703 |
7,689 |
$304K |
| A4604 |
Tubing with heating element |
5,477 |
5,464 |
$254K |
| A7034 |
Nasal application device |
3,078 |
3,072 |
$238K |
| E0562 |
Humidifier heated used w pap |
1,617 |
1,607 |
$235K |
| A7032 |
Replacement nasal cushion |
6,771 |
6,757 |
$193K |
| A7038 |
Pos airway pressure filter |
26,812 |
26,750 |
$192K |
| A7035 |
Pos airway press headgear |
5,349 |
5,336 |
$141K |
| A7030 |
Cpap full face mask |
1,386 |
1,385 |
$119K |
| A7046 |
Repl water chamber, pap dev |
4,108 |
4,097 |
$58K |
| A7031 |
Replacement facemask interfa |
939 |
936 |
$49K |
| E0570 |
Nebulizer with compression |
423 |
416 |
$48K |
| A7000 |
Disposable canister for pump |
24 |
24 |
$572.58 |
| A7002 |
Tubing used w suction pump |
39 |
38 |
$372.92 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$177.05 |