| 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 |
9,825 |
6,989 |
$229K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
217 |
102 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
505 |
470 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,397 |
1,035 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,864 |
2,812 |
$21K |
| A7031 |
Face mask interface, replacement for full face mask, each |
892 |
823 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,747 |
1,297 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,305 |
1,017 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,269 |
2,132 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
534 |
508 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
336 |
323 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
305 |
210 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
145 |
140 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
12 |
$443.15 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
93 |
66 |
$26.16 |