| Code | Description | Claims | Beneficiaries | Total Paid |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,941 |
1,941 |
$52K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,777 |
2,777 |
$46K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,794 |
3,791 |
$35K |
| A7031 |
Face mask interface, replacement for full face mask, each |
451 |
451 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,529 |
3,528 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
421 |
421 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
2,097 |
2,097 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
467 |
467 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
2,584 |
2,583 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
696 |
695 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,401 |
1,399 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
70 |
70 |
$2K |
| 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) |
87 |
87 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
114 |
114 |
$384.00 |