| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
5,421 |
4,529 |
$257K |
| A7031 |
Replacement facemask interfa |
4,331 |
3,925 |
$184K |
| A7030 |
Cpap full face mask |
1,263 |
1,138 |
$143K |
| E0562 |
Humidifier heated used w pap |
4,477 |
3,757 |
$68K |
| A7037 |
Pos airway pressure tubing |
2,575 |
2,312 |
$57K |
| A7035 |
Pos airway press headgear |
1,845 |
1,674 |
$38K |
| A7038 |
Pos airway pressure filter |
5,401 |
4,888 |
$29K |
| A7034 |
Nasal application device |
280 |
247 |
$21K |
| A7033 |
Replacement nasal pillows |
1,105 |
994 |
$20K |
| A7032 |
Replacement nasal cushion |
806 |
719 |
$19K |
| A7046 |
Repl water chamber, pap dev |
586 |
535 |
$8K |
| E0602 |
Manual breast pump |
14 |
14 |
$0.00 |