| 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 |
1,032 |
954 |
$43K |
| E0601 |
Continuous positive airway pressure (cpap) device |
670 |
553 |
$18K |
| 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) |
84 |
72 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
491 |
453 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
734 |
628 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
90 |
71 |
$4.25 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
14 |
$0.00 |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
13 |
$0.00 |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
13 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
14 |
13 |
$0.00 |