| 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 |
10,199 |
9,315 |
$667K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
290 |
261 |
$227K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,890 |
1,787 |
$76K |
| 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 |
1,955 |
1,817 |
$52K |
| E1392 |
Portable oxygen concentrator, rental |
1,282 |
1,199 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,309 |
2,091 |
$37K |
| A7030 |
Full face mask used with positive airway pressure device, each |
388 |
353 |
$34K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
474 |
404 |
$22K |
| A7031 |
Face mask interface, replacement for full face mask, each |
391 |
352 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
443 |
396 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
749 |
674 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
250 |
219 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,605 |
1,354 |
$10K |
| 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) |
109 |
92 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
675 |
603 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
484 |
429 |
$5K |