| 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 |
2,149 |
2,102 |
$164K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,250 |
1,224 |
$23K |
| E0601 |
Continuous positive airway pressure (cpap) device |
422 |
411 |
$19K |
| E0570 |
Nebulizer, with compressor |
495 |
481 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
96 |
94 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
323 |
321 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
18 |
18 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$494.62 |
| A7035 |
Headgear used with positive airway pressure device |
19 |
19 |
$345.50 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
15 |
$217.98 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
15 |
$88.62 |