| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
3,728 |
3,356 |
$150K |
| E0601 |
Cont airway pressure device |
2,893 |
2,613 |
$83K |
| A4604 |
Tubing with heating element |
2,082 |
1,821 |
$43K |
| A7030 |
Cpap full face mask |
1,006 |
840 |
$34K |
| A7031 |
Replacement facemask interfa |
1,468 |
1,307 |
$33K |
| E0562 |
Humidifier heated used w pap |
2,569 |
2,260 |
$27K |
| A7034 |
Nasal application device |
797 |
706 |
$25K |
| E0431 |
Portable gaseous 02 |
2,180 |
1,990 |
$20K |
| E0466 |
Home vent non-invasive inter |
55 |
48 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
288 |
244 |
$13K |
| A7035 |
Pos airway press headgear |
1,271 |
1,104 |
$12K |
| A7038 |
Pos airway pressure filter |
3,540 |
3,103 |
$9K |
| A7032 |
Replacement nasal cushion |
259 |
226 |
$4K |
| A7033 |
Replacement nasal pillows |
280 |
246 |
$3K |
| A7046 |
Repl water chamber, pap dev |
383 |
322 |
$2K |
| E0570 |
Nebulizer with compression |
91 |
64 |
$1K |