| 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 |
1,087 |
1,070 |
$106K |
| E0601 |
Continuous positive airway pressure (cpap) device |
682 |
673 |
$39K |
| E0570 |
Nebulizer, with compressor |
191 |
191 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
143 |
142 |
$14K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
50 |
50 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
152 |
151 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
192 |
192 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
276 |
276 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
777 |
767 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
193 |
191 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
142 |
142 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
172 |
172 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
38 |
38 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
34 |
34 |
$457.76 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
70 |
69 |
$255.84 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$213.80 |