| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
820 |
811 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
84 |
81 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
32 |
32 |
$381.93 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$304.53 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$186.66 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
48 |
42 |
$183.94 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$34.11 |