| Code | Description | Claims | Beneficiaries | Total Paid |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,489 |
2,485 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,498 |
2,483 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,611 |
4,584 |
$57K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,043 |
2,034 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
972 |
961 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,547 |
4,505 |
$14K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
623 |
616 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
572 |
561 |
$12K |
| 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) |
482 |
481 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
2,457 |
2,446 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,687 |
3,674 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
123 |
123 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
520 |
517 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
138 |
137 |
$562.64 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,637 |
1,632 |
$514.95 |