| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
4,671 |
4,098 |
$221K |
| E0601 |
Cont airway pressure device |
1,046 |
889 |
$29K |
| E0431 |
Portable gaseous 02 |
2,394 |
1,941 |
$22K |
| E0562 |
Humidifier heated used w pap |
979 |
848 |
$9K |
| A7030 |
Cpap full face mask |
159 |
145 |
$8K |
| A7037 |
Pos airway pressure tubing |
736 |
686 |
$6K |
| A7031 |
Replacement facemask interfa |
245 |
212 |
$5K |
| A7038 |
Pos airway pressure filter |
1,504 |
1,348 |
$4K |
| A7035 |
Pos airway press headgear |
328 |
307 |
$4K |
| E0570 |
Nebulizer with compression |
460 |
409 |
$2K |
| A7046 |
Repl water chamber, pap dev |
312 |
292 |
$2K |
| A7034 |
Nasal application device |
27 |
24 |
$842.07 |
| E1392 |
Portable oxygen concentrator |
37 |
37 |
$410.78 |
| A7003 |
Nebulizer administration set |
16 |
13 |
$19.11 |