| 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 |
3,235 |
2,909 |
$302K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,376 |
1,317 |
$65K |
| E0570 |
Nebulizer, with compressor |
1,830 |
1,732 |
$58K |
| A7030 |
Full face mask used with positive airway pressure device, each |
351 |
336 |
$29K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,708 |
1,625 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
1,210 |
1,095 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
464 |
454 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
443 |
429 |
$9K |
| K0001 |
Standard wheelchair |
400 |
385 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
151 |
151 |
$6K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
151 |
144 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
200 |
194 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
168 |
161 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
453 |
433 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
16 |
13 |
$682.51 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
14 |
$466.90 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
14 |
$202.84 |