| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
18,695 |
16,976 |
$655K |
| E0601 |
Cont airway pressure device |
6,463 |
6,065 |
$249K |
| A7030 |
Cpap full face mask |
2,925 |
2,651 |
$105K |
| E0470 |
Rad w/o backup non-inv intfc |
1,062 |
999 |
$92K |
| E0431 |
Portable gaseous 02 |
7,339 |
6,663 |
$86K |
| E0562 |
Humidifier heated used w pap |
3,159 |
2,832 |
$84K |
| A7031 |
Replacement facemask interfa |
3,227 |
2,901 |
$66K |
| A7035 |
Pos airway press headgear |
2,963 |
2,716 |
$37K |
| E0570 |
Nebulizer with compression |
2,718 |
2,482 |
$30K |
| A4604 |
Tubing with heating element |
1,842 |
1,689 |
$29K |
| A7037 |
Pos airway pressure tubing |
2,224 |
2,050 |
$23K |
| A7038 |
Pos airway pressure filter |
9,817 |
9,075 |
$22K |
| A7034 |
Nasal application device |
799 |
736 |
$18K |
| A7032 |
Replacement nasal cushion |
475 |
445 |
$6K |
| E1392 |
Portable oxygen concentrator |
726 |
653 |
$4K |
| K0001 |
Standard wheelchair |
154 |
139 |
$3K |
| A7003 |
Nebulizer administration set |
1,333 |
1,158 |
$2K |
| A7046 |
Repl water chamber, pap dev |
703 |
649 |
$2K |
| A7033 |
Replacement nasal pillows |
56 |
51 |
$1K |
| A7039 |
Filter, non disposable w pap |
90 |
82 |
$468.70 |
| A7005 |
Nondisposable nebulizer set |
14 |
13 |
$95.66 |
| A7015 |
Aerosol mask used w nebulize |
36 |
36 |
$27.01 |