| 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 |
5,421 |
4,930 |
$294K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,743 |
2,573 |
$118K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,606 |
1,557 |
$99K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,338 |
2,261 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
581 |
564 |
$54K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,066 |
2,828 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
1,699 |
1,641 |
$34K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
931 |
897 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
833 |
785 |
$27K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
809 |
759 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,683 |
3,527 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
977 |
942 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
292 |
260 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
691 |
643 |
$8K |
| E0570 |
Nebulizer, with compressor |
957 |
895 |
$8K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
148 |
116 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
102 |
83 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
201 |
199 |
$1K |