| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,026 |
7,228 |
$468K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,172 |
2,921 |
$309K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,390 |
3,169 |
$230K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,782 |
2,411 |
$223K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,986 |
5,430 |
$222K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,212 |
1,903 |
$205K |
| 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) |
1,025 |
918 |
$123K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,425 |
2,998 |
$111K |
| A7035 |
Headgear used with positive airway pressure device |
4,507 |
4,170 |
$96K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,521 |
2,261 |
$71K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,901 |
2,679 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,548 |
7,028 |
$28K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
191 |
186 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
558 |
492 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
489 |
446 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,778 |
1,644 |
$12K |
| K0001 |
Standard wheelchair |
80 |
77 |
$5K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
12 |
12 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
63 |
55 |
$1K |