| 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 |
7,392 |
7,011 |
$396K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,394 |
1,347 |
$110K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,733 |
2,653 |
$103K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,420 |
2,311 |
$103K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,255 |
3,132 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,062 |
3,848 |
$36K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
289 |
285 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
1,738 |
1,665 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,396 |
4,232 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,017 |
974 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
309 |
299 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
192 |
179 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
212 |
206 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
599 |
586 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
258 |
249 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
100 |
97 |
$3K |
| E0570 |
Nebulizer, with compressor |
172 |
160 |
$3K |