| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
473 |
469 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
261 |
256 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
81 |
79 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
160 |
157 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
29 |
29 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
390 |
385 |
$2K |
| K0001 |
Standard wheelchair |
39 |
38 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
24 |
$877.28 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$473.31 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
26 |
26 |
$392.77 |