| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
3,197 |
2,894 |
$167K |
| E0601 |
Cont airway pressure device |
1,071 |
1,018 |
$54K |
| A7030 |
Cpap full face mask |
351 |
329 |
$25K |
| E0570 |
Nebulizer with compression |
1,270 |
1,199 |
$19K |
| A4604 |
Tubing with heating element |
655 |
618 |
$18K |
| E0431 |
Portable gaseous 02 |
1,537 |
1,387 |
$13K |
| A7031 |
Replacement facemask interfa |
310 |
297 |
$10K |
| E0562 |
Humidifier heated used w pap |
418 |
356 |
$8K |
| A7035 |
Pos airway press headgear |
469 |
441 |
$7K |
| E1392 |
Portable oxygen concentrator |
458 |
408 |
$6K |
| A7034 |
Nasal application device |
79 |
76 |
$5K |
| A7038 |
Pos airway pressure filter |
1,028 |
982 |
$5K |
| A7046 |
Repl water chamber, pap dev |
52 |
49 |
$474.49 |
| A7003 |
Nebulizer administration set |
171 |
163 |
$308.62 |