| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,213 |
1,057 |
$29K |
| A7031 |
Face mask interface, replacement for full face mask, each |
940 |
764 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,433 |
1,252 |
$12K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
418 |
338 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
144 |
121 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
233 |
204 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,498 |
1,240 |
$4K |
| 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) |
73 |
62 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
257 |
225 |
$3K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
63 |
53 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
79 |
61 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
62 |
59 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
199 |
173 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
41 |
37 |
$870.55 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
74 |
61 |
$306.93 |