| 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 |
4,376 |
3,731 |
$122K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,924 |
1,720 |
$15K |
| E0601 |
Continuous positive airway pressure (cpap) device |
838 |
788 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
2,050 |
1,711 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
472 |
428 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
311 |
280 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
878 |
833 |
$5K |
| E0570 |
Nebulizer, with compressor |
964 |
917 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,346 |
1,203 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
85 |
74 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
271 |
243 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
106 |
96 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$289.59 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
41 |
37 |
$107.78 |