| 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 |
3,683 |
2,862 |
$88K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,109 |
980 |
$28K |
| E0570 |
Nebulizer, with compressor |
1,049 |
829 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
691 |
512 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
661 |
607 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
508 |
440 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
49 |
33 |
$42.53 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
227 |
165 |
$13.39 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
19 |
14 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
59 |
40 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
57 |
40 |
$0.00 |