| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
472 |
457 |
$134K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,943 |
2,941 |
$114K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
983 |
981 |
$78K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,456 |
1,452 |
$65K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,001 |
7,994 |
$60K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
358 |
346 |
$53K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,802 |
1,801 |
$52K |
| A7035 |
Headgear used with positive airway pressure device |
1,285 |
1,281 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
302 |
300 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
241 |
240 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,042 |
1,040 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
36 |
36 |
$1K |