| 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 |
25,637 |
17,923 |
$840K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
762 |
440 |
$130K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,139 |
9,202 |
$88K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,402 |
1,177 |
$78K |
| E1392 |
Portable oxygen concentrator, rental |
5,927 |
3,940 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
994 |
775 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
918 |
736 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,551 |
1,229 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,094 |
898 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,604 |
3,919 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,362 |
1,126 |
$19K |
| E0570 |
Nebulizer, with compressor |
3,162 |
2,083 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
355 |
296 |
$12K |
| 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) |
198 |
134 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
717 |
585 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
503 |
275 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,878 |
1,289 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
137 |
101 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
20 |
12 |
$29.09 |