| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
15,352 |
10,775 |
$598K |
| E0466 |
Home vent non-invasive inter |
763 |
577 |
$229K |
| E0431 |
Portable gaseous 02 |
10,998 |
7,728 |
$87K |
| E0601 |
Cont airway pressure device |
2,758 |
1,988 |
$71K |
| A7030 |
Cpap full face mask |
1,462 |
958 |
$57K |
| A7031 |
Replacement facemask interfa |
2,103 |
1,496 |
$56K |
| E0562 |
Humidifier heated used w pap |
3,518 |
2,580 |
$32K |
| E0570 |
Nebulizer with compression |
2,697 |
1,899 |
$31K |
| A7037 |
Pos airway pressure tubing |
1,902 |
1,369 |
$17K |
| A7038 |
Pos airway pressure filter |
3,909 |
3,105 |
$16K |
| A7035 |
Pos airway press headgear |
1,075 |
774 |
$9K |
| A7034 |
Nasal application device |
58 |
41 |
$2K |
| A7046 |
Repl water chamber, pap dev |
407 |
292 |
$1K |
| A7003 |
Nebulizer administration set |
241 |
220 |
$205.06 |
| A7005 |
Nondisposable nebulizer set |
30 |
24 |
$64.77 |
| A7015 |
Aerosol mask used w nebulize |
47 |
44 |
$49.24 |
| A7013 |
Disposable compressor filter |
77 |
68 |
$25.05 |