| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
1,860 |
1,634 |
$151K |
| E1390 |
Oxygen concentrator |
1,779 |
1,649 |
$88K |
| E0562 |
Humidifier heated used w pap |
1,804 |
1,557 |
$69K |
| A7030 |
Cpap full face mask |
100 |
97 |
$13K |
| A7035 |
Pos airway press headgear |
296 |
288 |
$8K |
| E0431 |
Portable gaseous 02 |
454 |
417 |
$7K |
| E0570 |
Nebulizer with compression |
525 |
507 |
$7K |
| A7037 |
Pos airway pressure tubing |
255 |
248 |
$7K |
| A7038 |
Pos airway pressure filter |
240 |
233 |
$2K |
| E1392 |
Portable oxygen concentrator |
14 |
13 |
$356.78 |
| A7046 |
Repl water chamber, pap dev |
16 |
16 |
$113.60 |