| 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 |
9,846 |
9,822 |
$370K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
342 |
341 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,346 |
5,332 |
$37K |
| E1392 |
Portable oxygen concentrator, rental |
903 |
902 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
117 |
117 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
346 |
346 |
$3K |
| E0570 |
Nebulizer, with compressor |
1,011 |
1,010 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
703 |
697 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
36 |
36 |
$770.08 |
| A7037 |
Tubing used with positive airway pressure device |
96 |
96 |
$373.58 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$221.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
406 |
387 |
$175.14 |
| A7035 |
Headgear used with positive airway pressure device |
38 |
38 |
$98.17 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$25.32 |