| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,597 |
1,182 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,605 |
1,011 |
$53K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,314 |
992 |
$15K |
| E0570 |
Nebulizer, with compressor |
175 |
143 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
92 |
78 |
$989.41 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
57 |
37 |
$500.06 |
| K0001 |
Standard wheelchair |
71 |
49 |
$277.93 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
16 |
13 |
$82.90 |