| 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 |
19,899 |
19,532 |
$1.46M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,768 |
13,528 |
$200K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
359 |
356 |
$142K |
| A7030 |
Full face mask used with positive airway pressure device, each |
992 |
976 |
$64K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,589 |
1,563 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,635 |
1,596 |
$55K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
322 |
321 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,490 |
1,472 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,676 |
1,644 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
2,210 |
2,179 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
705 |
696 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
383 |
378 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,540 |
3,480 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
743 |
719 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
266 |
262 |
$792.11 |
| E1392 |
Portable oxygen concentrator, rental |
29 |
27 |
$731.72 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
50 |
50 |
$58.48 |