| 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 |
4,913 |
4,821 |
$413K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,655 |
5,607 |
$335K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,040 |
1,009 |
$77K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
541 |
538 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,023 |
5,009 |
$70K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,224 |
4,198 |
$68K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
580 |
576 |
$60K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,876 |
1,854 |
$44K |
| E0570 |
Nebulizer, with compressor |
1,208 |
1,198 |
$38K |
| A7035 |
Headgear used with positive airway pressure device |
1,633 |
1,582 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
1,427 |
1,397 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
361 |
353 |
$17K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
162 |
155 |
$8K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
91 |
88 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
70 |
69 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
276 |
274 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
42 |
41 |
$2K |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$747.60 |
| E0156 |
Seat attachment, walker |
73 |
66 |
$522.93 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$218.97 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
12 |
$124.26 |