| Code | Description | Claims | Beneficiaries | Total Paid |
| E0466 |
Home vent non-invasive inter |
4,940 |
4,679 |
$2.58M |
| E1390 |
Oxygen concentrator |
13,922 |
13,183 |
$798K |
| E0431 |
Portable gaseous 02 |
11,999 |
11,414 |
$156K |
| E0601 |
Cont airway pressure device |
4,354 |
4,171 |
$135K |
| A7030 |
Cpap full face mask |
1,081 |
1,002 |
$59K |
| E0465 |
Home vent invasive interface |
118 |
112 |
$25K |
| E0570 |
Nebulizer with compression |
1,281 |
1,241 |
$16K |
| A7031 |
Replacement facemask interfa |
664 |
618 |
$15K |
| A7035 |
Pos airway press headgear |
869 |
809 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
212 |
194 |
$10K |
| E0562 |
Humidifier heated used w pap |
103 |
98 |
$9K |
| A7037 |
Pos airway pressure tubing |
637 |
593 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
112 |
87 |
$6K |
| A7038 |
Pos airway pressure filter |
1,601 |
1,490 |
$6K |
| A4604 |
Tubing with heating element |
354 |
326 |
$5K |
| K0001 |
Standard wheelchair |
115 |
109 |
$3K |
| A7034 |
Nasal application device |
38 |
36 |
$1K |
| E0630 |
Patient lift hydraulic |
15 |
12 |
$788.50 |
| A7039 |
Filter, non disposable w pap |
101 |
95 |
$516.14 |