| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,651 |
2,616 |
$120K |
| A4604 |
Tubing with heating element |
2,220 |
2,186 |
$52K |
| A7030 |
Cpap full face mask |
841 |
824 |
$51K |
| A7034 |
Nasal application device |
1,170 |
1,153 |
$48K |
| E1390 |
Oxygen concentrator |
900 |
889 |
$35K |
| A7035 |
Pos airway press headgear |
1,685 |
1,660 |
$27K |
| A7038 |
Pos airway pressure filter |
2,452 |
2,381 |
$12K |
| A7031 |
Replacement facemask interfa |
405 |
396 |
$10K |
| E1392 |
Portable oxygen concentrator |
458 |
451 |
$8K |
| A7046 |
Repl water chamber, pap dev |
826 |
813 |
$6K |
| A7039 |
Filter, non disposable w pap |
920 |
914 |
$5K |
| E0562 |
Humidifier heated used w pap |
37 |
37 |
$4K |
| A7032 |
Replacement nasal cushion |
71 |
66 |
$3K |