| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
13,003 |
10,703 |
$715K |
| A7030 |
Cpap full face mask |
10,292 |
7,914 |
$514K |
| A4604 |
Tubing with heating element |
17,271 |
13,247 |
$379K |
| E0466 |
Home vent non-invasive inter |
1,223 |
914 |
$378K |
| A7031 |
Replacement facemask interfa |
10,308 |
7,872 |
$300K |
| A7034 |
Nasal application device |
7,559 |
5,729 |
$239K |
| E0562 |
Humidifier heated used w pap |
10,627 |
8,624 |
$182K |
| A7035 |
Pos airway press headgear |
16,550 |
12,628 |
$181K |
| E0470 |
Rad w/o backup non-inv intfc |
1,764 |
1,385 |
$166K |
| A7032 |
Replacement nasal cushion |
5,066 |
3,751 |
$152K |
| E1390 |
Oxygen concentrator |
4,939 |
3,412 |
$144K |
| A7033 |
Replacement nasal pillows |
2,536 |
1,702 |
$66K |
| A7046 |
Repl water chamber, pap dev |
8,588 |
6,421 |
$60K |
| A7038 |
Pos airway pressure filter |
27,942 |
12,872 |
$39K |
| E0431 |
Portable gaseous 02 |
839 |
751 |
$7K |
| E0570 |
Nebulizer with compression |
325 |
297 |
$5K |
| A7036 |
Pos airway press chinstrap |
517 |
413 |
$3K |
| A7039 |
Filter, non disposable w pap |
829 |
732 |
$3K |
| E1392 |
Portable oxygen concentrator |
183 |
128 |
$2K |