| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
5,313 |
5,312 |
$603K |
| A7031 |
Replacement facemask interfa |
5,990 |
4,008 |
$509K |
| A7030 |
Cpap full face mask |
3,875 |
3,726 |
$478K |
| A4604 |
Tubing with heating element |
5,656 |
5,429 |
$276K |
| E0562 |
Humidifier heated used w pap |
4,201 |
4,200 |
$249K |
| E0470 |
Rad w/o backup non-inv intfc |
492 |
492 |
$202K |
| A7035 |
Pos airway press headgear |
5,283 |
5,056 |
$148K |
| A7032 |
Replacement nasal cushion |
1,455 |
1,008 |
$137K |
| A7034 |
Nasal application device |
1,729 |
1,657 |
$137K |
| A7038 |
Pos airway pressure filter |
6,026 |
5,795 |
$96K |
| A7033 |
Replacement nasal pillows |
1,003 |
713 |
$72K |
| 94660 |
|
1,234 |
1,173 |
$50K |
| A7046 |
Repl water chamber, pap dev |
2,394 |
2,392 |
$37K |