| 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 |
6,182 |
5,770 |
$408K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,109 |
1,999 |
$163K |
| A7030 |
Full face mask used with positive airway pressure device, each |
982 |
912 |
$87K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,947 |
1,825 |
$64K |
| E0570 |
Nebulizer, with compressor |
2,323 |
2,040 |
$58K |
| A7035 |
Headgear used with positive airway pressure device |
1,810 |
1,695 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
609 |
580 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,434 |
2,281 |
$29K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
779 |
759 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,990 |
2,812 |
$20K |
| K0001 |
Standard wheelchair |
1,142 |
1,007 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
469 |
429 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
675 |
619 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
277 |
247 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
816 |
771 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
45 |
43 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
257 |
249 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
489 |
404 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
384 |
381 |
$4K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
161 |
136 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
370 |
343 |
$3K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
24 |
24 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$444.41 |
| E0156 |
Seat attachment, walker |
14 |
12 |
$145.23 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
69 |
67 |
$33.23 |