| Code | Description | Claims | Beneficiaries | Total Paid |
| A7031 |
Face mask interface, replacement for full face mask, each |
963 |
789 |
$23K |
| E0601 |
Continuous positive airway pressure (cpap) device |
327 |
312 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,936 |
1,630 |
$8K |
| E0570 |
Nebulizer, with compressor |
663 |
625 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
306 |
242 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
47 |
40 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
42 |
27 |
$562.06 |