| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,050 |
3,047 |
$354K |
| A7030 |
Full face mask used with positive airway pressure device, each |
881 |
881 |
$136K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
592 |
592 |
$135K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
241 |
241 |
$92K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
880 |
879 |
$85K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,301 |
1,300 |
$72K |
| A7035 |
Headgear used with positive airway pressure device |
1,418 |
1,416 |
$43K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,948 |
1,945 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
289 |
289 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
438 |
438 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
230 |
229 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
634 |
633 |
$10K |
| 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) |
26 |
26 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
407 |
407 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
127 |
127 |
$5K |