| 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 |
4,204 |
3,346 |
$148K |
| E0570 |
Nebulizer, with compressor |
451 |
381 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,954 |
1,591 |
$13K |
| K0003 |
Lightweight wheelchair |
464 |
391 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
13 |
12 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
73 |
72 |
$165.59 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
71 |
70 |
$71.68 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
27 |
24 |
$50.43 |