| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
10,783 |
10,114 |
$512K |
| A7030 |
Cpap full face mask |
3,673 |
3,400 |
$297K |
| E0562 |
Humidifier heated used w pap |
1,573 |
1,451 |
$239K |
| A7034 |
Nasal application device |
3,084 |
2,890 |
$186K |
| A4604 |
Tubing with heating element |
5,565 |
5,204 |
$183K |
| A7031 |
Replacement facemask interfa |
4,149 |
3,533 |
$165K |
| A7032 |
Replacement nasal cushion |
2,207 |
1,826 |
$138K |
| E1390 |
Oxygen concentrator |
1,991 |
1,844 |
$111K |
| A7035 |
Pos airway press headgear |
4,261 |
3,966 |
$72K |
| A7038 |
Pos airway pressure filter |
10,576 |
8,509 |
$60K |
| E0470 |
Rad w/o backup non-inv intfc |
735 |
624 |
$57K |
| A7033 |
Replacement nasal pillows |
925 |
795 |
$38K |
| A7037 |
Pos airway pressure tubing |
1,167 |
1,075 |
$21K |
| A7046 |
Repl water chamber, pap dev |
2,043 |
1,930 |
$20K |
| A7039 |
Filter, non disposable w pap |
2,629 |
2,483 |
$19K |
| K0738 |
Portable gas oxygen system |
877 |
814 |
$12K |
| E0570 |
Nebulizer with compression |
96 |
88 |
$1K |