| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
24,429 |
22,179 |
$811K |
| E0601 |
Cont airway pressure device |
11,699 |
11,033 |
$447K |
| A7030 |
Cpap full face mask |
4,582 |
4,236 |
$190K |
| E0466 |
Home vent non-invasive inter |
389 |
346 |
$181K |
| E0562 |
Humidifier heated used w pap |
4,918 |
4,460 |
$147K |
| E0470 |
Rad w/o backup non-inv intfc |
1,538 |
1,425 |
$135K |
| E0431 |
Portable gaseous 02 |
10,046 |
9,215 |
$107K |
| A7031 |
Replacement facemask interfa |
5,437 |
4,907 |
$101K |
| A7034 |
Nasal application device |
3,708 |
3,428 |
$85K |
| A7035 |
Pos airway press headgear |
5,811 |
5,408 |
$79K |
| A7037 |
Pos airway pressure tubing |
6,669 |
6,184 |
$62K |
| A7032 |
Replacement nasal cushion |
3,262 |
2,969 |
$54K |
| A7038 |
Pos airway pressure filter |
22,734 |
21,238 |
$49K |
| A4604 |
Tubing with heating element |
1,760 |
1,637 |
$35K |
| E0570 |
Nebulizer with compression |
3,269 |
2,964 |
$33K |
| A7033 |
Replacement nasal pillows |
1,697 |
1,558 |
$29K |
| E1392 |
Portable oxygen concentrator |
2,189 |
2,046 |
$21K |
| A7039 |
Filter, non disposable w pap |
1,215 |
1,134 |
$6K |
| A7046 |
Repl water chamber, pap dev |
2,176 |
2,021 |
$4K |
| A7005 |
Nondisposable nebulizer set |
329 |
300 |
$2K |
| A7003 |
Nebulizer administration set |
1,263 |
1,017 |
$911.58 |
| A7015 |
Aerosol mask used w nebulize |
106 |
96 |
$69.82 |