| 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 |
2,955 |
2,679 |
$254K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,693 |
1,604 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,822 |
1,692 |
$34K |
| E0570 |
Nebulizer, with compressor |
798 |
789 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,737 |
1,571 |
$25K |
| A7030 |
Full face mask used with positive airway pressure device, each |
142 |
139 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
260 |
242 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
202 |
199 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
146 |
146 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
334 |
331 |
$2K |
| T4541 |
Incontinence product, disposable underpad, large, each |
13 |
13 |
$825.38 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
14 |
$175.83 |