| 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 |
8,205 |
5,436 |
$161K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
649 |
502 |
$125K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,643 |
1,259 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,703 |
1,884 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
608 |
444 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
793 |
577 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
383 |
271 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
746 |
578 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
140 |
103 |
$5K |
| 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 |
1,308 |
1,001 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,469 |
1,109 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
52 |
38 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
144 |
102 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
90 |
68 |
$645.38 |