| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
9,033 |
8,192 |
$870K |
| E0431 |
Portable gaseous 02 |
2,784 |
2,554 |
$53K |
| E1392 |
Portable oxygen concentrator |
1,427 |
1,239 |
$34K |
| E0441 |
Stationary o2 contents, gas |
442 |
426 |
$24K |
| K0738 |
Portable gas oxygen system |
879 |
773 |
$22K |
| E0601 |
Cont airway pressure device |
160 |
130 |
$10K |
| E0570 |
Nebulizer with compression |
332 |
308 |
$3K |
| A7038 |
Pos airway pressure filter |
618 |
497 |
$2K |
| A4604 |
Tubing with heating element |
97 |
75 |
$2K |
| A7032 |
Replacement nasal cushion |
70 |
52 |
$1K |
| A7034 |
Nasal application device |
34 |
30 |
$1K |
| A7031 |
Replacement facemask interfa |
64 |
41 |
$1K |
| E0424 |
Stationary compressed gas 02 |
14 |
12 |
$1K |
| A7030 |
Cpap full face mask |
24 |
14 |
$1K |