| 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 |
1,503 |
1,444 |
$127K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,795 |
1,696 |
$66K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
597 |
585 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,815 |
1,748 |
$22K |
| 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 |
209 |
209 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,767 |
1,729 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
350 |
342 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
348 |
337 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
91 |
91 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
197 |
195 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
134 |
131 |
$4K |
| E0570 |
Nebulizer, with compressor |
193 |
192 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
154 |
149 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$1K |