| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
5,118 |
4,977 |
$598K |
| A7030 |
Cpap full face mask |
2,827 |
2,800 |
$387K |
| E0562 |
Humidifier heated used w pap |
1,111 |
1,063 |
$230K |
| A4604 |
Tubing with heating element |
3,465 |
3,424 |
$181K |
| A7034 |
Nasal application device |
2,021 |
2,000 |
$174K |
| A7031 |
Replacement facemask interfa |
2,147 |
2,125 |
$112K |
| E1390 |
Oxygen concentrator |
789 |
773 |
$101K |
| A7035 |
Pos airway press headgear |
3,179 |
3,147 |
$87K |
| A7032 |
Replacement nasal cushion |
869 |
858 |
$51K |
| A7038 |
Pos airway pressure filter |
5,314 |
5,253 |
$32K |
| A7037 |
Pos airway pressure tubing |
1,044 |
1,035 |
$30K |
| A7046 |
Repl water chamber, pap dev |
1,442 |
1,421 |
$24K |
| A7039 |
Filter, non disposable w pap |
1,779 |
1,758 |
$19K |
| A7033 |
Replacement nasal pillows |
338 |
330 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
49 |
47 |
$6K |