| 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 |
3,728 |
3,356 |
$150K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,893 |
2,613 |
$83K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,082 |
1,821 |
$43K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,006 |
840 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,468 |
1,307 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,569 |
2,260 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
797 |
706 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,180 |
1,990 |
$20K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
55 |
48 |
$17K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
288 |
244 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,271 |
1,104 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,540 |
3,103 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
259 |
226 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
280 |
246 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
383 |
322 |
$2K |
| E0570 |
Nebulizer, with compressor |
91 |
64 |
$1K |