| 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 |
1,592 |
1,513 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
781 |
757 |
$5K |
| E0570 |
Nebulizer, with compressor |
374 |
345 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
868 |
641 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
275 |
190 |
$1K |
| A4259 |
Lancets, per box of 100 |
69 |
56 |
$8.28 |