| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,495 |
2,357 |
$109K |
| A7030 |
Full face mask used with positive airway pressure device, each |
478 |
463 |
$49K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
436 |
352 |
$39K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
770 |
752 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
842 |
822 |
$33K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
111 |
109 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
497 |
480 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
499 |
482 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,051 |
1,984 |
$11K |
| E0570 |
Nebulizer, with compressor |
262 |
253 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
138 |
135 |
$2K |
| K0001 |
Standard wheelchair |
38 |
38 |
$1K |