| 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 |
1,742 |
1,546 |
$43K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,183 |
1,938 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
955 |
821 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
79 |
65 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
64 |
60 |
$384.93 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
105 |
98 |
$228.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
393 |
327 |
$178.31 |
| A7035 |
Headgear used with positive airway pressure device |
74 |
71 |
$105.06 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
43 |
41 |
$29.67 |