| 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 |
3,229 |
3,145 |
$233K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,351 |
1,295 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,102 |
2,049 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
351 |
346 |
$10K |
| E0570 |
Nebulizer, with compressor |
806 |
757 |
$8K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
685 |
675 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
81 |
77 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
779 |
765 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
109 |
105 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
14 |
$314.59 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
14 |
$167.96 |