| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
1,515 |
1,475 |
$70K |
| E0570 |
Nebulizer with compression |
251 |
250 |
$23K |
| E0562 |
Humidifier heated used w pap |
942 |
935 |
$21K |
| A7031 |
Replacement facemask interfa |
162 |
138 |
$4K |
| A7005 |
Nondisposable nebulizer set |
184 |
183 |
$3K |
| A7038 |
Pos airway pressure filter |
461 |
397 |
$2K |
| A7030 |
Cpap full face mask |
13 |
13 |
$1K |
| A7037 |
Pos airway pressure tubing |
16 |
15 |
$259.28 |
| A7015 |
Aerosol mask used w nebulize |
200 |
199 |
$229.95 |
| A7013 |
Disposable compressor filter |
200 |
199 |
$100.99 |
| A7046 |
Repl water chamber, pap dev |
15 |
12 |
$84.42 |
| A7003 |
Nebulizer administration set |
40 |
40 |
$0.00 |