| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
19,884 |
17,618 |
$849K |
| E0466 |
Home vent non-invasive inter |
335 |
262 |
$86K |
| E0431 |
Portable gaseous 02 |
6,247 |
5,385 |
$55K |
| A7031 |
Replacement facemask interfa |
1,857 |
1,725 |
$44K |
| A7037 |
Pos airway pressure tubing |
1,858 |
1,738 |
$16K |
| E0601 |
Cont airway pressure device |
438 |
349 |
$13K |
| A7038 |
Pos airway pressure filter |
2,164 |
1,993 |
$6K |
| E0562 |
Humidifier heated used w pap |
498 |
413 |
$3K |
| E1392 |
Portable oxygen concentrator |
221 |
176 |
$3K |
| A7030 |
Cpap full face mask |
61 |
50 |
$2K |
| A7035 |
Pos airway press headgear |
122 |
103 |
$1K |
| E0570 |
Nebulizer with compression |
120 |
76 |
$342.59 |
| A7046 |
Repl water chamber, pap dev |
31 |
28 |
$293.25 |
| A7003 |
Nebulizer administration set |
784 |
571 |
$285.70 |