| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
1,720 |
1,663 |
$74K |
| E0114 |
Crutch underarm pair no wood |
330 |
328 |
$18K |
| E0118 |
Crutch substitute |
271 |
258 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
99 |
99 |
$11K |
| E1390 |
Oxygen concentrator |
110 |
101 |
$8K |
| E0562 |
Humidifier heated used w pap |
38 |
38 |
$5K |
| E0570 |
Nebulizer with compression |
66 |
65 |
$4K |
| E0603 |
Electric breast pump |
14 |
14 |
$3K |
| E1392 |
Portable oxygen concentrator |
106 |
97 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
52 |
52 |
$3K |
| A4604 |
Tubing with heating element |
84 |
84 |
$3K |
| A7035 |
Pos airway press headgear |
79 |
79 |
$1K |
| A7038 |
Pos airway pressure filter |
330 |
322 |
$1K |