| Code | Description | Claims | Beneficiaries | Total Paid |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,083 |
789 |
$351K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
8,697 |
7,518 |
$295K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,579 |
2,336 |
$20K |
| E0601 |
Continuous positive airway pressure (cpap) device |
410 |
324 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,405 |
1,247 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
136 |
134 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
43 |
43 |
$655.70 |
| A7031 |
Face mask interface, replacement for full face mask, each |
34 |
34 |
$615.82 |
| A7037 |
Tubing used with positive airway pressure device |
261 |
229 |
$602.92 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
36 |
33 |
$369.47 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
533 |
455 |
$334.54 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
19 |
18 |
$296.10 |
| E1392 |
Portable oxygen concentrator, rental |
20 |
20 |
$133.83 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
125 |
107 |
$104.10 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
17 |
16 |
$98.74 |
| A7035 |
Headgear used with positive airway pressure device |
22 |
22 |
$94.83 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
21 |
21 |
$44.69 |