| 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 |
4,172 |
3,627 |
$185K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,717 |
1,593 |
$105K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
937 |
806 |
$40K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,106 |
1,021 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
1,247 |
1,092 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
545 |
491 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,146 |
1,896 |
$13K |
| K0001 |
Standard wheelchair |
306 |
289 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
49 |
43 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
459 |
396 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
88 |
74 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
240 |
226 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
54 |
51 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
133 |
125 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
126 |
116 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
41 |
37 |
$862.87 |
| A7036 |
Chinstrap used with positive airway pressure device |
29 |
26 |
$243.34 |