| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
15,064 |
13,980 |
$591K |
| E0431 |
Portable gaseous 02 |
5,586 |
5,110 |
$84K |
| E0601 |
Cont airway pressure device |
879 |
724 |
$27K |
| E0570 |
Nebulizer with compression |
4,381 |
3,899 |
$26K |
| E0562 |
Humidifier heated used w pap |
987 |
823 |
$11K |
| E0443 |
Portable 02 contents, gas |
379 |
328 |
$5K |
| A7003 |
Nebulizer administration set |
4,114 |
3,441 |
$5K |
| A7038 |
Pos airway pressure filter |
2,196 |
1,341 |
$5K |
| A7032 |
Replacement nasal cushion |
230 |
116 |
$4K |
| A7037 |
Pos airway pressure tubing |
412 |
362 |
$4K |
| E1392 |
Portable oxygen concentrator |
464 |
434 |
$3K |
| A7005 |
Nondisposable nebulizer set |
282 |
277 |
$1K |
| A7031 |
Replacement facemask interfa |
27 |
24 |
$889.77 |
| A7035 |
Pos airway press headgear |
15 |
14 |
$145.34 |
| A7013 |
Disposable compressor filter |
74 |
68 |
$24.43 |