| 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 |
2,106 |
1,888 |
$157K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,108 |
1,001 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,383 |
1,273 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,471 |
1,313 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,126 |
1,037 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
449 |
379 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
142 |
136 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,151 |
1,950 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
115 |
109 |
$3K |
| E0570 |
Nebulizer, with compressor |
133 |
128 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
129 |
118 |
$982.79 |