| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,870 |
3,691 |
$303K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,128 |
2,018 |
$158K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,128 |
3,959 |
$116K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,318 |
2,243 |
$115K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,204 |
2,053 |
$107K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
536 |
523 |
$82K |
| A7035 |
Headgear used with positive airway pressure device |
3,396 |
3,289 |
$65K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,594 |
4,412 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,152 |
1,049 |
$24K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,918 |
1,856 |
$18K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,114 |
2,054 |
$15K |
| 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) |
158 |
141 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
643 |
570 |
$9K |
| 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 |
512 |
497 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
313 |
295 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
27 |
27 |
$986.82 |
| A7036 |
Chinstrap used with positive airway pressure device |
48 |
45 |
$429.88 |