| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
1,132 |
869 |
$35K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
543 |
432 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
786 |
628 |
$5K |
| K0001 |
Standard wheelchair |
439 |
391 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
400 |
314 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
95 |
68 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
474 |
321 |
$221.29 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
111 |
67 |
$215.85 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
56 |
49 |
$144.12 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
12 |
$46.30 |