| 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 |
422 |
376 |
$24K |
| E0570 |
Nebulizer, with compressor |
149 |
121 |
$15K |
| E0601 |
Continuous positive airway pressure (cpap) device |
224 |
206 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
62 |
55 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
67 |
61 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
127 |
114 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
76 |
69 |
$1K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
93 |
88 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
50 |
46 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
132 |
116 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
59 |
53 |
$600.66 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
187 |
142 |
$582.32 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
92 |
70 |
$262.21 |
| A7015 |
Aerosol mask, used with dme nebulizer |
101 |
74 |
$74.97 |