| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
1,933 |
1,748 |
$287K |
| E0562 |
Humidifier heated used w pap |
507 |
478 |
$74K |
| A7030 |
Cpap full face mask |
501 |
477 |
$44K |
| A7037 |
Pos airway pressure tubing |
789 |
734 |
$17K |
| A7031 |
Replacement facemask interfa |
499 |
475 |
$16K |
| A7035 |
Pos airway press headgear |
650 |
612 |
$13K |
| E1399 |
Durable medical equipment mi |
250 |
227 |
$11K |
| A7034 |
Nasal application device |
102 |
95 |
$6K |
| A7038 |
Pos airway pressure filter |
814 |
757 |
$4K |
| A7046 |
Repl water chamber, pap dev |
660 |
600 |
$2K |
| 94660 |
|
403 |
363 |
$37.62 |
| A9279 |
Monitoring feature/devicenoc |
248 |
223 |
$0.00 |
| A9901 |
Delivery/set up/dispensing |
33 |
29 |
$0.00 |