| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,675 |
2,386 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
939 |
825 |
$27K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,699 |
1,505 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,712 |
2,410 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,226 |
1,121 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
431 |
387 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
872 |
763 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
747 |
677 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
488 |
429 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
880 |
786 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
932 |
827 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
766 |
650 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,763 |
1,610 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
712 |
639 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
241 |
206 |
$1K |
| E0570 |
Nebulizer, with compressor |
540 |
508 |
$773.68 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
447 |
411 |
$331.39 |
| A7036 |
Chinstrap used with positive airway pressure device |
29 |
25 |
$174.31 |
| K0001 |
Standard wheelchair |
86 |
85 |
$89.04 |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$45.29 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
26 |
13 |
$3.12 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
24 |
12 |
$1.26 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
26 |
13 |
$0.92 |