| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Cont airway pressure device |
1,332 |
1,250 |
$99K |
| A7034 |
Nasal application device |
157 |
143 |
$9K |
| A7038 |
Pos airway pressure filter |
774 |
704 |
$5K |
| A7031 |
Replacement facemask interfa |
127 |
113 |
$5K |
| E0562 |
Humidifier heated used w pap |
14 |
13 |
$2K |
| A7035 |
Pos airway press headgear |
80 |
64 |
$2K |
| A4604 |
Tubing with heating element |
424 |
367 |
$1K |
| A7030 |
Cpap full face mask |
17 |
12 |
$1K |
| A7032 |
Replacement nasal cushion |
29 |
27 |
$1K |
| A7033 |
Replacement nasal pillows |
28 |
24 |
$801.20 |
| A7046 |
Repl water chamber, pap dev |
26 |
24 |
$339.52 |