| 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 |
2,659 |
2,531 |
$186K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,529 |
1,424 |
$73K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
678 |
667 |
$48K |
| A7030 |
Full face mask used with positive airway pressure device, each |
484 |
471 |
$46K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,240 |
1,214 |
$43K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
269 |
264 |
$40K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
411 |
396 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
511 |
497 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,271 |
1,207 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
756 |
739 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
602 |
561 |
$12K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
84 |
84 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,494 |
1,458 |
$8K |
| E0570 |
Nebulizer, with compressor |
403 |
383 |
$6K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
53 |
49 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
271 |
268 |
$3K |
| K0001 |
Standard wheelchair |
215 |
208 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
27 |
26 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$17.54 |