| 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 |
2,253 |
1,886 |
$91K |
| E0601 |
Continuous positive airway pressure (cpap) device |
408 |
277 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
89 |
86 |
$321.86 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
12 |
$184.24 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
218 |
215 |
$12.24 |