| Code | Description | Claims | Beneficiaries | Total Paid |
| A7031 |
Replacement facemask interfa |
15,819 |
15,422 |
$620K |
| A7030 |
Cpap full face mask |
6,873 |
6,730 |
$589K |
| A4604 |
Tubing with heating element |
10,350 |
10,143 |
$364K |
| E0601 |
Cont airway pressure device |
7,700 |
7,572 |
$338K |
| A7032 |
Replacement nasal cushion |
7,223 |
7,066 |
$300K |
| A7034 |
Nasal application device |
3,650 |
3,580 |
$207K |
| E1390 |
Oxygen concentrator |
2,438 |
2,359 |
$150K |
| E0562 |
Humidifier heated used w pap |
946 |
932 |
$136K |
| A7038 |
Pos airway pressure filter |
24,979 |
24,388 |
$130K |
| A7035 |
Pos airway press headgear |
5,659 |
5,548 |
$102K |
| A7033 |
Replacement nasal pillows |
1,707 |
1,674 |
$57K |
| E0470 |
Rad w/o backup non-inv intfc |
383 |
380 |
$46K |
| A7046 |
Repl water chamber, pap dev |
2,320 |
2,279 |
$26K |
| E0471 |
Rad w/backup non inv intrfc |
12 |
12 |
$4K |
| A7036 |
Pos airway press chinstrap |
243 |
240 |
$3K |
| A7039 |
Filter, non disposable w pap |
305 |
299 |
$2K |