| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,705 |
2,703 |
$57K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
845 |
844 |
$49K |
| 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) |
235 |
233 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,926 |
1,924 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
852 |
848 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
568 |
568 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
122 |
122 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,450 |
2,447 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,088 |
1,086 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
159 |
158 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
149 |
149 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
649 |
648 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
85 |
85 |
$170.42 |