| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
22,024 |
18,262 |
$845K |
| A7030 |
Cpap full face mask |
8,145 |
6,804 |
$598K |
| E0562 |
Humidifier heated used w pap |
3,799 |
3,219 |
$349K |
| A7031 |
Replacement facemask interfa |
7,780 |
5,985 |
$264K |
| A4604 |
Tubing with heating element |
10,204 |
8,465 |
$209K |
| A7034 |
Nasal application device |
4,481 |
3,706 |
$136K |
| A7032 |
Replacement nasal cushion |
2,613 |
1,978 |
$114K |
| E0470 |
Rad w/o backup non-inv intfc |
1,797 |
1,445 |
$103K |
| A7035 |
Pos airway press headgear |
7,991 |
6,711 |
$88K |
| A7038 |
Pos airway pressure filter |
18,826 |
14,989 |
$71K |
| E1390 |
Oxygen concentrator |
1,321 |
1,070 |
$56K |
| A7033 |
Replacement nasal pillows |
2,103 |
1,707 |
$52K |
| A7046 |
Repl water chamber, pap dev |
3,991 |
3,124 |
$21K |
| A7037 |
Pos airway pressure tubing |
2,168 |
1,812 |
$18K |
| A7039 |
Filter, non disposable w pap |
2,468 |
2,043 |
$9K |
| K0738 |
Portable gas oxygen system |
440 |
370 |
$4K |
| A7036 |
Pos airway press chinstrap |
14 |
13 |
$116.42 |