| 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 |
5,331 |
4,897 |
$115K |
| E0570 |
Nebulizer, with compressor |
2,563 |
2,353 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,215 |
3,857 |
$18K |
| K0001 |
Standard wheelchair |
1,877 |
1,755 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
716 |
646 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
474 |
446 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
521 |
471 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
535 |
465 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
28 |
27 |
$67.94 |
| A7015 |
Aerosol mask, used with dme nebulizer |
54 |
50 |
$45.01 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
105 |
97 |
$36.17 |