| 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 |
11,706 |
10,845 |
$413K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
792 |
728 |
$240K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,570 |
1,500 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,239 |
1,195 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,932 |
4,561 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
537 |
508 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,553 |
1,486 |
$16K |
| E0570 |
Nebulizer, with compressor |
1,874 |
1,742 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,026 |
981 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,561 |
2,457 |
$8K |
| K0001 |
Standard wheelchair |
772 |
709 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
296 |
279 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
56 |
52 |
$458.82 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$414.16 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
380 |
338 |
$195.04 |