| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
5,994 |
5,990 |
$261K |
| E0562 |
Humidifier heated used w pap |
5,010 |
5,005 |
$59K |
| A7030 |
Cpap full face mask |
764 |
761 |
$39K |
| A7038 |
Pos airway pressure filter |
1,444 |
1,442 |
$31K |
| A7031 |
Replacement facemask interfa |
626 |
626 |
$17K |
| A7035 |
Pos airway press headgear |
1,065 |
1,057 |
$17K |
| A7037 |
Pos airway pressure tubing |
545 |
545 |
$11K |
| A7034 |
Nasal application device |
96 |
96 |
$4K |
| A4604 |
Tubing with heating element |
252 |
252 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$1K |
| A7046 |
Repl water chamber, pap dev |
281 |
280 |
$954.39 |
| A7032 |
Replacement nasal cushion |
27 |
27 |
$596.89 |
| A7036 |
Pos airway press chinstrap |
24 |
24 |
$194.00 |