| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,968 |
1,900 |
$176K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,266 |
1,236 |
$45K |
| A7030 |
Full face mask used with positive airway pressure device, each |
444 |
431 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
617 |
599 |
$38K |
| S9999 |
Sales tax |
1,720 |
1,488 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,289 |
1,239 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,178 |
2,075 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
66 |
65 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
848 |
829 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
217 |
207 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
137 |
130 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
75 |
75 |
$696.30 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
26 |
25 |
$422.20 |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
347 |
338 |
$271.16 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
37 |
37 |
$59.94 |