| 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 |
2,592 |
2,591 |
$145K |
| E0570 |
Nebulizer, with compressor |
1,137 |
1,099 |
$22K |
| K0001 |
Standard wheelchair |
1,122 |
1,091 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,887 |
1,886 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
354 |
336 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
127 |
127 |
$4K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
91 |
91 |
$3K |