| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,866 |
4,812 |
$443K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,470 |
3,420 |
$208K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,179 |
2,148 |
$207K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,376 |
1,353 |
$205K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,518 |
5,441 |
$193K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,279 |
2,230 |
$127K |
| A7035 |
Headgear used with positive airway pressure device |
4,859 |
4,792 |
$107K |
| 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) |
506 |
498 |
$74K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,240 |
6,084 |
$37K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,730 |
2,695 |
$30K |
| A7031 |
Face mask interface, replacement for full face mask, each |
876 |
844 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
1,104 |
1,076 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
588 |
554 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
503 |
481 |
$8K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
778 |
759 |
$6K |
| A7036 |
Chinstrap used with positive airway pressure device |
187 |
186 |
$2K |
| E0570 |
Nebulizer, with compressor |
108 |
101 |
$2K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
14 |
$231.36 |