| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,307 |
4,105 |
$304K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,454 |
3,275 |
$165K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,248 |
2,161 |
$163K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,529 |
4,324 |
$122K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,594 |
2,457 |
$119K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
869 |
832 |
$115K |
| A7035 |
Headgear used with positive airway pressure device |
3,665 |
3,543 |
$66K |
| 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) |
463 |
438 |
$61K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,340 |
1,265 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,968 |
4,753 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
1,429 |
1,330 |
$24K |
| 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 |
1,023 |
985 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,045 |
1,969 |
$18K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,599 |
1,549 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
396 |
360 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
204 |
184 |
$3K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
13 |
13 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
101 |
92 |
$819.46 |