| 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 |
1,754 |
1,489 |
$91K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
845 |
660 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
174 |
136 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
27 |
25 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
177 |
146 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
63 |
50 |
$2K |