| Code | Description | Claims | Beneficiaries | Total Paid |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
175 |
165 |
$33K |
| E0601 |
Continuous positive airway pressure (cpap) device |
485 |
408 |
$15K |
| E0570 |
Nebulizer, with compressor |
13 |
13 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
138 |
123 |
$501.98 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
17 |
14 |
$297.66 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$174.72 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
13 |
$112.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$26.69 |