| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,544 |
3,214 |
$212K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,196 |
1,066 |
$140K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,836 |
3,436 |
$101K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,306 |
1,161 |
$96K |
| A7035 |
Headgear used with positive airway pressure device |
2,922 |
2,623 |
$75K |
| A7037 |
Tubing used with positive airway pressure device |
3,162 |
2,862 |
$74K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,980 |
2,667 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,318 |
2,095 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
549 |
471 |
$4K |
| 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) |
15 |
12 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
70 |
67 |
$999.52 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
26 |
26 |
$347.69 |
| 94660 |
|
17 |
12 |
$336.20 |