| 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 |
336 |
258 |
$22K |
| E0570 |
Nebulizer, with compressor |
166 |
164 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
13 |
12 |
$625.60 |
| A7031 |
Face mask interface, replacement for full face mask, each |
18 |
14 |
$558.58 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
43 |
38 |
$183.69 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
28 |
27 |
$156.40 |