| 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 |
7,280 |
6,953 |
$356K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,594 |
4,406 |
$312K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,413 |
2,334 |
$129K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,823 |
1,749 |
$122K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,985 |
3,849 |
$114K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
716 |
701 |
$97K |
| A7035 |
Headgear used with positive airway pressure device |
3,305 |
3,212 |
$63K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,371 |
3,227 |
$60K |
| E1392 |
Portable oxygen concentrator, rental |
2,643 |
2,496 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,194 |
1,130 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,325 |
4,175 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,754 |
1,710 |
$16K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,510 |
1,472 |
$11K |
| E0570 |
Nebulizer, with compressor |
527 |
478 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
336 |
318 |
$8K |
| 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) |
12 |
12 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
175 |
170 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$141.39 |