| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
477 |
402 |
$12K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
140 |
126 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
38 |
37 |
$2K |
| E0570 |
Nebulizer, with compressor |
13 |
12 |
$335.23 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
13 |
$230.34 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
13 |
$70.07 |