| Code | Description | Claims | Beneficiaries | Total Paid |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,759 |
2,462 |
$1.09M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,389 |
8,859 |
$392K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,601 |
2,030 |
$65K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,696 |
3,344 |
$39K |
| 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 |
1,448 |
1,342 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
311 |
250 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
799 |
700 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,085 |
938 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
461 |
405 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
193 |
159 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
332 |
262 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
17 |
16 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
100 |
91 |
$570.16 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$423.98 |