| 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 |
2,846 |
2,366 |
$97K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,507 |
2,216 |
$74K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,730 |
1,449 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
439 |
400 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,301 |
1,027 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
179 |
162 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
430 |
386 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
85 |
77 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
135 |
116 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
980 |
858 |
$2K |
| 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) |
27 |
24 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
31 |
25 |
$265.14 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
52 |
49 |
$189.71 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$108.58 |
| E0570 |
Nebulizer, with compressor |
25 |
24 |
$106.92 |