| 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 |
586 |
578 |
$40K |
| E0570 |
Nebulizer, with compressor |
267 |
264 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
314 |
308 |
$5K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
14 |
13 |
$849.10 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
92 |
91 |
$201.75 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$161.53 |
| A7015 |
Aerosol mask, used with dme nebulizer |
72 |
69 |
$62.59 |