| 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 |
10,971 |
9,903 |
$407K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,122 |
5,556 |
$241K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,044 |
3,592 |
$93K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,086 |
941 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,624 |
2,407 |
$52K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
981 |
802 |
$24K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
232 |
201 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,903 |
1,629 |
$7K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
44 |
44 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
1,464 |
1,285 |
$4K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
622 |
550 |
$4K |
| E0570 |
Nebulizer, with compressor |
102 |
93 |
$4K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
23 |
15 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,033 |
884 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
798 |
718 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
222 |
190 |
$358.37 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
129 |
117 |
$347.35 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
12 |
$15.47 |