| 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 |
1,610 |
1,594 |
$156K |
| E0570 |
Nebulizer, with compressor |
843 |
843 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
891 |
890 |
$17K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
275 |
275 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
166 |
166 |
$173.99 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
13 |
$23.39 |