| Code | Description | Claims | Beneficiaries | Total Paid |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
10,171 |
9,888 |
$1.33M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
856 |
820 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
93 |
88 |
$2K |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$404.27 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$30.14 |