| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
237 |
236 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
212 |
212 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
483 |
481 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
457 |
453 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
90 |
90 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
40 |
40 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$855.49 |