| 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 |
2,319 |
2,293 |
$133K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,228 |
1,196 |
$45K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
650 |
647 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
902 |
900 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
127 |
127 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
134 |
130 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
234 |
233 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
597 |
590 |
$2K |
| E0570 |
Nebulizer, with compressor |
36 |
36 |
$766.91 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
29 |
27 |
$159.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$20.98 |