| 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 |
1,903 |
1,290 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,302 |
978 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,143 |
859 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
229 |
176 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
583 |
445 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
471 |
350 |
$7K |
| E0570 |
Nebulizer, with compressor |
583 |
449 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,043 |
740 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
126 |
91 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
18 |
13 |
$98.11 |