| 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 |
8,639 |
8,178 |
$693K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,491 |
2,406 |
$103K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,644 |
3,462 |
$54K |
| A7030 |
Full face mask used with positive airway pressure device, each |
729 |
706 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,265 |
2,123 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
636 |
617 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,359 |
1,336 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,152 |
3,027 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
872 |
850 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
690 |
659 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
175 |
174 |
$5K |
| 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) |
40 |
40 |
$4K |
| E0570 |
Nebulizer, with compressor |
334 |
330 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
36 |
36 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
13 |
$225.65 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
89 |
85 |
$173.37 |