| 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 |
1,885 |
1,139 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
892 |
543 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
77 |
76 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
231 |
226 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
95 |
92 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
265 |
255 |
$874.83 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
320 |
210 |
$524.80 |