| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
2,648 |
2,631 |
$63K |
| E0570 |
Nebulizer with compression |
1,110 |
1,108 |
$19K |
| E0562 |
Humidifier heated used w pap |
1,382 |
1,378 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
78 |
75 |
$3K |
| A4253 |
Blood glucose/reagent strips |
72 |
65 |
$1K |
| A7005 |
Nondisposable nebulizer set |
78 |
77 |
$636.89 |
| A6530 |
Compression stocking bk18-30 |
13 |
12 |
$619.00 |
| A7030 |
Cpap full face mask |
13 |
13 |
$270.74 |
| A7038 |
Pos airway pressure filter |
87 |
86 |
$209.29 |
| A7035 |
Pos airway press headgear |
24 |
24 |
$192.56 |
| A4259 |
Lancets per box |
60 |
51 |
$126.36 |
| A4604 |
Tubing with heating element |
12 |
12 |
$80.99 |