| 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 |
2,219 |
2,021 |
$70K |
| A7031 |
Face mask interface, replacement for full face mask, each |
755 |
657 |
$16K |
| E0601 |
Continuous positive airway pressure (cpap) device |
619 |
571 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
425 |
372 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
778 |
675 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
681 |
653 |
$6K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
967 |
869 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,524 |
1,347 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
252 |
224 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
147 |
135 |
$1K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
48 |
37 |
$1K |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$123.50 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
44 |
42 |
$98.56 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
12 |
$26.92 |