| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
678 |
677 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
48 |
48 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
30 |
30 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
82 |
82 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
41 |
41 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
71 |
71 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
27 |
27 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
79 |
79 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
116 |
116 |
$672.97 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
29 |
29 |
$341.91 |