| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
178 |
177 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,859 |
1,853 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
130 |
128 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
63 |
62 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
114 |
113 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
59 |
58 |
$800.27 |