| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
991 |
785 |
$100K |
| E0562 |
Humidifier heated used w pap |
293 |
238 |
$16K |
| A7038 |
Pos airway pressure filter |
1,228 |
956 |
$13K |
| A7031 |
Replacement facemask interfa |
234 |
188 |
$12K |
| A7030 |
Cpap full face mask |
82 |
66 |
$8K |
| A7035 |
Pos airway press headgear |
382 |
288 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
57 |
49 |
$8K |
| A7039 |
Filter, non disposable w pap |
254 |
187 |
$2K |
| A7037 |
Pos airway pressure tubing |
564 |
430 |
$1K |
| A7034 |
Nasal application device |
15 |
12 |
$939.78 |
| E0570 |
Nebulizer with compression |
16 |
13 |
$744.54 |
| A7046 |
Repl water chamber, pap dev |
49 |
36 |
$538.72 |