| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
13,319 |
13,201 |
$927K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,695 |
6,661 |
$591K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,335 |
6,289 |
$366K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,486 |
5,429 |
$252K |
| 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) |
701 |
698 |
$189K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,339 |
5,306 |
$154K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,631 |
3,600 |
$149K |
| A7035 |
Headgear used with positive airway pressure device |
11,139 |
11,080 |
$133K |
| A7037 |
Tubing used with positive airway pressure device |
10,468 |
10,422 |
$114K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14,694 |
14,568 |
$48K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,033 |
1,021 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,387 |
1,373 |
$11K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,422 |
1,412 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
612 |
607 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
316 |
315 |
$611.35 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
12 |
12 |
$7.37 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
27 |
27 |
$0.00 |