| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
476 |
471 |
$403.79 |
| 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) |
12 |
12 |
$50.32 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
78 |
76 |
$24.63 |
| A7035 |
Headgear used with positive airway pressure device |
16 |
14 |
$4.24 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$2.79 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$0.00 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$0.00 |