| 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 |
6,501 |
6,273 |
$283K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,378 |
1,346 |
$71K |
| A7030 |
Full face mask used with positive airway pressure device, each |
771 |
747 |
$57K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,284 |
1,242 |
$52K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
592 |
574 |
$42K |
| E1392 |
Portable oxygen concentrator, rental |
3,149 |
3,032 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,779 |
1,748 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
888 |
866 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,171 |
2,099 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,548 |
1,474 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
693 |
670 |
$10K |
| E0570 |
Nebulizer, with compressor |
367 |
360 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
96 |
92 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
397 |
388 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
91 |
90 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
39 |
39 |
$994.34 |