| Code | Description | Claims | Beneficiaries | Total Paid |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,232 |
4,171 |
$160K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,540 |
1,511 |
$150K |
| A7037 |
Tubing used with positive airway pressure device |
1,579 |
1,557 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,337 |
4,275 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
756 |
735 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
97 |
97 |
$5K |
| A7028 |
Oral cushion for combination oral/nasal mask, replacement only, each |
22 |
13 |
$445.73 |