| 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 |
2,096 |
1,924 |
$130K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,043 |
966 |
$47K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,268 |
1,158 |
$14K |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$939.55 |
| K0001 |
Standard wheelchair |
14 |
12 |
$322.25 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
30 |
27 |
$127.38 |