| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
559 |
545 |
$43K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
357 |
329 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
543 |
521 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
71 |
69 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
82 |
77 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
340 |
320 |
$2K |
| E0570 |
Nebulizer, with compressor |
39 |
36 |
$953.61 |