| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
15,420 |
12,621 |
$709K |
| E0466 |
Home vent non-invasive inter |
657 |
565 |
$174K |
| E0431 |
Portable gaseous 02 |
12,265 |
9,966 |
$59K |
| E0143 |
Walker folding wheeled w/o s |
818 |
693 |
$25K |
| K0001 |
Standard wheelchair |
1,607 |
1,347 |
$20K |
| E0601 |
Cont airway pressure device |
479 |
398 |
$14K |
| E0570 |
Nebulizer with compression |
1,827 |
1,519 |
$13K |
| E0260 |
Hosp bed semi-electr w/ matt |
67 |
53 |
$6K |
| K0195 |
Elevating whlchair leg rests |
323 |
279 |
$4K |
| E1392 |
Portable oxygen concentrator |
958 |
767 |
$2K |
| E0562 |
Humidifier heated used w pap |
339 |
297 |
$916.92 |
| E0156 |
Walker seat attachment |
210 |
184 |
$766.96 |
| E0163 |
Commode chair with fixed arm |
13 |
12 |
$501.93 |
| A7037 |
Pos airway pressure tubing |
81 |
67 |
$100.38 |
| A7038 |
Pos airway pressure filter |
74 |
52 |
$7.56 |