| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
743 |
582 |
$46K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
354 |
297 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
956 |
793 |
$15K |
| E0570 |
Nebulizer, with compressor |
353 |
343 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
148 |
125 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
202 |
157 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
23 |
12 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
460 |
375 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
59 |
53 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
27 |
$186.54 |