| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,727 |
1,643 |
$156K |
| A7030 |
Full face mask used with positive airway pressure device, each |
640 |
605 |
$58K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
764 |
718 |
$46K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
293 |
275 |
$46K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,293 |
1,216 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
1,105 |
1,054 |
$25K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
369 |
332 |
$18K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
59 |
52 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,425 |
1,337 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
291 |
265 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
235 |
215 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
462 |
437 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
46 |
39 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$143.36 |