| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
17,847 |
16,327 |
$1.12M |
| E0431 |
Portable gaseous 02 |
11,833 |
10,710 |
$123K |
| E0466 |
Home vent non-invasive inter |
208 |
157 |
$93K |
| A7031 |
Replacement facemask interfa |
1,384 |
1,269 |
$57K |
| E0601 |
Cont airway pressure device |
1,410 |
1,305 |
$38K |
| A7030 |
Cpap full face mask |
685 |
617 |
$35K |
| E0443 |
Portable 02 contents, gas |
1,494 |
1,233 |
$18K |
| E1392 |
Portable oxygen concentrator |
1,255 |
1,143 |
$18K |
| A7037 |
Pos airway pressure tubing |
990 |
888 |
$12K |
| A7038 |
Pos airway pressure filter |
2,048 |
1,882 |
$9K |
| E0570 |
Nebulizer with compression |
1,427 |
1,293 |
$6K |
| A7035 |
Pos airway press headgear |
390 |
358 |
$6K |
| A7046 |
Repl water chamber, pap dev |
237 |
220 |
$2K |
| E0562 |
Humidifier heated used w pap |
320 |
269 |
$878.71 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$15.58 |