| 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 |
771 |
711 |
$73K |
| E0601 |
Continuous positive airway pressure (cpap) device |
398 |
376 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
89 |
86 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
342 |
331 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
342 |
335 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
134 |
129 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
25 |
25 |
$881.13 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
13 |
$530.73 |
| A7037 |
Tubing used with positive airway pressure device |
29 |
27 |
$87.72 |