| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
18,746 |
15,033 |
$1.06M |
| E0601 |
Cont airway pressure device |
5,641 |
4,785 |
$311K |
| E0466 |
Home vent non-invasive inter |
342 |
297 |
$141K |
| A7030 |
Cpap full face mask |
2,192 |
1,893 |
$138K |
| E0431 |
Portable gaseous 02 |
12,791 |
10,458 |
$138K |
| E0562 |
Humidifier heated used w pap |
2,837 |
2,436 |
$129K |
| A7034 |
Nasal application device |
2,423 |
2,126 |
$109K |
| A7035 |
Pos airway press headgear |
3,529 |
3,132 |
$62K |
| A7037 |
Pos airway pressure tubing |
3,324 |
2,883 |
$48K |
| A7031 |
Replacement facemask interfa |
1,923 |
1,647 |
$42K |
| A7032 |
Replacement nasal cushion |
1,696 |
1,453 |
$34K |
| A7038 |
Pos airway pressure filter |
6,283 |
5,443 |
$31K |
| E0570 |
Nebulizer with compression |
2,089 |
1,671 |
$31K |
| E1392 |
Portable oxygen concentrator |
1,300 |
1,034 |
$25K |
| A4604 |
Tubing with heating element |
1,008 |
878 |
$25K |
| A7046 |
Repl water chamber, pap dev |
2,117 |
1,905 |
$19K |
| A7039 |
Filter, non disposable w pap |
2,818 |
2,515 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
168 |
128 |
$14K |
| A7005 |
Nondisposable nebulizer set |
47 |
43 |
$620.22 |
| A7036 |
Pos airway press chinstrap |
32 |
26 |
$233.53 |
| A7013 |
Disposable compressor filter |
14 |
14 |
$8.18 |
| A9279 |
Monitoring feature/devicenoc |
40 |
24 |
$0.00 |