| Code | Description | Claims | Beneficiaries | Total Paid |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
197 |
181 |
$115K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,816 |
2,394 |
$106K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,071 |
1,778 |
$41K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
69 |
56 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,080 |
1,703 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
220 |
176 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
359 |
336 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
545 |
456 |
$3K |
| A7000 |
Canister, disposable, used with suction pump, each |
68 |
54 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
151 |
122 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
941 |
753 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
153 |
128 |
$1K |
| K0001 |
Standard wheelchair |
83 |
81 |
$774.55 |
| 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) |
38 |
36 |
$673.70 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
326 |
286 |
$193.30 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
41 |
27 |
$83.47 |
| E0570 |
Nebulizer, with compressor |
13 |
12 |
$53.88 |