| 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 |
619 |
516 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
382 |
364 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
420 |
361 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
443 |
417 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
100 |
96 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
184 |
182 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
463 |
368 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
335 |
320 |
$727.96 |
| A7030 |
Full face mask used with positive airway pressure device, each |
25 |
25 |
$653.63 |
| K0001 |
Standard wheelchair |
12 |
12 |
$394.90 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
359 |
338 |
$321.71 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
25 |
$308.73 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$246.03 |
| A7037 |
Tubing used with positive airway pressure device |
96 |
92 |
$107.77 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
26 |
24 |
$41.73 |