| 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 |
6,578 |
6,537 |
$349K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
291 |
290 |
$88K |
| E0601 |
Continuous positive airway pressure (cpap) device |
694 |
691 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,898 |
2,877 |
$27K |
| E0570 |
Nebulizer, with compressor |
1,590 |
1,585 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
729 |
728 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
205 |
202 |
$949.37 |
| E1392 |
Portable oxygen concentrator, rental |
61 |
61 |
$309.76 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
13 |
$257.58 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$75.84 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
26 |
26 |
$53.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
25 |
24 |
$31.40 |