| Code | Description | Claims | Beneficiaries | Total Paid |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,947 |
6,665 |
$205K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,838 |
1,767 |
$147K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,679 |
3,550 |
$143K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,539 |
1,473 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
2,606 |
2,502 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,521 |
9,137 |
$34K |
| A7037 |
Tubing used with positive airway pressure device |
1,898 |
1,818 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
519 |
508 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
308 |
297 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
126 |
122 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,494 |
1,431 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,097 |
1,992 |
$11K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
103 |
102 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
264 |
253 |
$6K |
| 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) |
12 |
12 |
$1K |