| 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 |
3,380 |
3,314 |
$256K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,238 |
2,192 |
$28K |
| E0570 |
Nebulizer, with compressor |
67 |
66 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
37 |
37 |
$394.77 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
65 |
65 |
$184.60 |