| Code | Description | Claims | Beneficiaries | Total Paid |
| A7030 |
Full face mask used with positive airway pressure device, each |
550 |
462 |
$48K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,430 |
1,149 |
$45K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,063 |
899 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
722 |
597 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
261 |
226 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,241 |
1,093 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
228 |
181 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
47 |
41 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
185 |
149 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
28 |
26 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
32 |
24 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
76 |
61 |
$435.18 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
15 |
14 |
$297.66 |