| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
8,924 |
6,745 |
$394K |
| E0466 |
Home vent non-invasive inter |
1,117 |
870 |
$245K |
| E0601 |
Cont airway pressure device |
2,573 |
1,962 |
$104K |
| E0431 |
Portable gaseous 02 |
5,369 |
4,091 |
$45K |
| A7034 |
Nasal application device |
1,069 |
868 |
$44K |
| A7035 |
Pos airway press headgear |
1,645 |
1,347 |
$25K |
| A4604 |
Tubing with heating element |
1,020 |
841 |
$24K |
| A7030 |
Cpap full face mask |
433 |
348 |
$24K |
| E0562 |
Humidifier heated used w pap |
337 |
276 |
$22K |
| A7038 |
Pos airway pressure filter |
3,087 |
2,430 |
$14K |
| E0570 |
Nebulizer with compression |
1,115 |
869 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,119 |
927 |
$6K |
| A7037 |
Pos airway pressure tubing |
444 |
345 |
$6K |
| A7046 |
Repl water chamber, pap dev |
628 |
520 |
$5K |
| A7031 |
Replacement facemask interfa |
174 |
142 |
$3K |
| A7032 |
Replacement nasal cushion |
99 |
81 |
$1K |
| A7036 |
Pos airway press chinstrap |
33 |
30 |
$271.39 |
| A9279 |
Monitoring feature/devicenoc |
205 |
150 |
$25.39 |