| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
3,983 |
3,492 |
$204K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,459 |
3,020 |
$78K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,769 |
1,595 |
$36K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,037 |
947 |
$33K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
3,070 |
2,738 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,758 |
3,367 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
1,121 |
995 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
688 |
623 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,300 |
3,893 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
472 |
405 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
174 |
163 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
914 |
817 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
215 |
202 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
522 |
465 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,056 |
2,724 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
77 |
65 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,934 |
2,607 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
167 |
155 |
$963.95 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
41 |
41 |
$151.77 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,929 |
2,604 |
$56.51 |