| 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 |
8,086 |
7,406 |
$336K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,148 |
3,837 |
$197K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,536 |
1,419 |
$71K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,108 |
1,885 |
$45K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,001 |
803 |
$25K |
| A7030 |
Full face mask used with positive airway pressure device, each |
331 |
298 |
$15K |
| 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 |
453 |
381 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
782 |
674 |
$999.60 |
| A7035 |
Headgear used with positive airway pressure device |
451 |
409 |
$554.86 |
| A7037 |
Tubing used with positive airway pressure device |
69 |
66 |
$427.15 |
| A7031 |
Face mask interface, replacement for full face mask, each |
155 |
132 |
$201.39 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
39 |
36 |
$11.43 |