| 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 |
439 |
418 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
381 |
369 |
$20K |
| E0570 |
Nebulizer, with compressor |
379 |
376 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
309 |
294 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
386 |
374 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
119 |
112 |
$323.48 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$56.13 |