| 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 |
883 |
736 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
91 |
75 |
$596.50 |
| E0601 |
Continuous positive airway pressure (cpap) device |
100 |
87 |
$496.92 |
| E0570 |
Nebulizer, with compressor |
27 |
24 |
$398.09 |
| K0001 |
Standard wheelchair |
51 |
41 |
$269.27 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
12 |
$72.05 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
17 |
13 |
$32.06 |