| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
185 |
174 |
$56.28 |
| E0570 |
Nebulizer with compression |
233 |
209 |
$0.00 |
| A7013 |
Disposable compressor filter |
23 |
16 |
$0.00 |
| E0562 |
Humidifier heated used w pap |
173 |
158 |
$0.00 |
| E0603 |
Electric breast pump |
31 |
31 |
$0.00 |
| A7015 |
Aerosol mask used w nebulize |
33 |
33 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
13 |
13 |
$0.00 |
| A7035 |
Pos airway press headgear |
13 |
12 |
$0.00 |
| A7034 |
Nasal application device |
16 |
16 |
$0.00 |
| A7005 |
Nondisposable nebulizer set |
162 |
144 |
$0.00 |
| A7038 |
Pos airway pressure filter |
75 |
71 |
$0.00 |
| A7003 |
Nebulizer administration set |
27 |
17 |
$0.00 |