| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
13,111 |
11,978 |
$435K |
| E0431 |
Portable gaseous 02 |
6,177 |
5,535 |
$122K |
| E0570 |
Nebulizer with compression |
1,313 |
1,180 |
$3K |
| E0601 |
Cont airway pressure device |
334 |
258 |
$3K |
| E0562 |
Humidifier heated used w pap |
354 |
271 |
$2K |
| A7031 |
Replacement facemask interfa |
108 |
79 |
$2K |
| A7038 |
Pos airway pressure filter |
456 |
374 |
$2K |
| A7030 |
Cpap full face mask |
31 |
25 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
113 |
99 |
$1K |
| A7003 |
Nebulizer administration set |
860 |
725 |
$747.99 |
| J7620 |
Albuterol ipratrop non-comp |
61 |
54 |
$301.83 |
| A7035 |
Pos airway press headgear |
17 |
13 |
$165.75 |
| A7037 |
Pos airway pressure tubing |
16 |
13 |
$123.38 |