| 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 |
12,210 |
9,434 |
$416K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,699 |
5,056 |
$42K |
| K0001 |
Standard wheelchair |
3,469 |
2,664 |
$25K |
| E0570 |
Nebulizer, with compressor |
2,040 |
1,633 |
$13K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
19 |
12 |
$326.66 |