| Code | Description | Claims | Beneficiaries | Total Paid |
| A7034 |
Nasal application device |
7,951 |
7,908 |
$149K |
| A7031 |
Replacement facemask interfa |
5,553 |
5,208 |
$147K |
| E0601 |
Cont airway pressure device |
10,152 |
10,045 |
$144K |
| A7032 |
Replacement nasal cushion |
4,398 |
3,816 |
$117K |
| A7030 |
Cpap full face mask |
5,237 |
5,206 |
$115K |
| A4604 |
Tubing with heating element |
9,364 |
9,320 |
$112K |
| A7033 |
Replacement nasal pillows |
4,699 |
4,031 |
$110K |
| A7038 |
Pos airway pressure filter |
13,049 |
12,630 |
$93K |
| A7035 |
Pos airway press headgear |
6,875 |
6,836 |
$63K |
| E0470 |
Rad w/o backup non-inv intfc |
1,633 |
1,608 |
$50K |
| E0562 |
Humidifier heated used w pap |
964 |
959 |
$33K |
| A7037 |
Pos airway pressure tubing |
3,651 |
3,625 |
$25K |
| A7046 |
Repl water chamber, pap dev |
533 |
533 |
$3K |
| A7039 |
Filter, non disposable w pap |
893 |
883 |
$2K |
| E0471 |
Rad w/backup non inv intrfc |
26 |
25 |
$1K |
| A7036 |
Pos airway press chinstrap |
48 |
48 |
$152.15 |