| 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 |
4,153 |
3,501 |
$166K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,209 |
1,996 |
$95K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,720 |
2,285 |
$12K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
119 |
107 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,268 |
2,064 |
$7K |
| E0570 |
Nebulizer, with compressor |
314 |
274 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
403 |
327 |
$1K |
| K0001 |
Standard wheelchair |
233 |
192 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
433 |
335 |
$648.70 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
186 |
153 |
$128.37 |
| A7031 |
Face mask interface, replacement for full face mask, each |
399 |
324 |
$56.29 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
770 |
614 |
$22.51 |
| A7035 |
Headgear used with positive airway pressure device |
333 |
274 |
$0.43 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
243 |
195 |
$0.00 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
17 |
14 |
$0.00 |
| A7037 |
Tubing used with positive airway pressure device |
506 |
405 |
$0.00 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
49 |
42 |
$0.00 |