| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
1,669 |
924 |
$130K |
| A7031 |
Replacement facemask interfa |
2,536 |
2,004 |
$73K |
| A7030 |
Cpap full face mask |
875 |
699 |
$69K |
| A7032 |
Replacement nasal cushion |
1,505 |
1,289 |
$52K |
| A4604 |
Tubing with heating element |
1,670 |
1,328 |
$47K |
| A7034 |
Nasal application device |
986 |
793 |
$43K |
| E0562 |
Humidifier heated used w pap |
2,316 |
1,291 |
$39K |
| A7035 |
Pos airway press headgear |
1,354 |
1,141 |
$23K |
| A7038 |
Pos airway pressure filter |
4,566 |
3,749 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
48 |
39 |
$11K |
| A7033 |
Replacement nasal pillows |
226 |
209 |
$7K |
| A7046 |
Repl water chamber, pap dev |
63 |
57 |
$512.57 |
| A7037 |
Pos airway pressure tubing |
14 |
12 |
$267.44 |
| A7039 |
Filter, non disposable w pap |
27 |
26 |
$200.57 |