| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
3,772 |
2,419 |
$117K |
| A7031 |
Replacement facemask interfa |
489 |
402 |
$21K |
| A4604 |
Tubing with heating element |
803 |
575 |
$15K |
| A7030 |
Cpap full face mask |
139 |
122 |
$13K |
| A7032 |
Replacement nasal cushion |
284 |
245 |
$12K |
| A7034 |
Nasal application device |
183 |
150 |
$12K |
| A7035 |
Pos airway press headgear |
713 |
492 |
$11K |
| A7038 |
Pos airway pressure filter |
1,919 |
1,347 |
$8K |
| E0570 |
Nebulizer with compression |
430 |
250 |
$2K |
| A7033 |
Replacement nasal pillows |
47 |
45 |
$2K |
| A7046 |
Repl water chamber, pap dev |
230 |
189 |
$2K |
| A7037 |
Pos airway pressure tubing |
44 |
26 |
$842.67 |