| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
371 |
355 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$958.50 |
| A7031 |
Face mask interface, replacement for full face mask, each |
75 |
68 |
$433.93 |
| A7035 |
Headgear used with positive airway pressure device |
90 |
83 |
$349.25 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
511 |
492 |
$309.60 |
| A7037 |
Tubing used with positive airway pressure device |
109 |
107 |
$259.24 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
104 |
97 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
28 |
27 |
$0.00 |