| Code | Description | Claims | Beneficiaries | Total Paid |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
344 |
280 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
56 |
49 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
93 |
83 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
119 |
101 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
603 |
480 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
78 |
64 |
$1K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
20 |
18 |
$577.96 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
19 |
13 |
$97.47 |