| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
2,187 |
2,086 |
$94K |
| A4604 |
Tubing with heating element |
771 |
759 |
$31K |
| A7031 |
Replacement facemask interfa |
478 |
477 |
$20K |
| A7030 |
Cpap full face mask |
187 |
184 |
$17K |
| A7035 |
Pos airway press headgear |
702 |
693 |
$15K |
| A7032 |
Replacement nasal cushion |
343 |
341 |
$15K |
| A7038 |
Pos airway pressure filter |
2,373 |
2,303 |
$15K |
| E0570 |
Nebulizer with compression |
231 |
228 |
$5K |
| A7034 |
Nasal application device |
81 |
80 |
$4K |
| A7046 |
Repl water chamber, pap dev |
193 |
192 |
$2K |
| E0562 |
Humidifier heated used w pap |
13 |
12 |
$2K |
| A7037 |
Pos airway pressure tubing |
41 |
41 |
$674.15 |