| 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 |
2,856 |
2,564 |
$101K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,598 |
2,338 |
$20K |
| E0570 |
Nebulizer, with compressor |
280 |
221 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
44 |
40 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
24 |
$481.56 |
| K0001 |
Standard wheelchair |
165 |
153 |
$379.28 |
| E0601 |
Continuous positive airway pressure (cpap) device |
14 |
12 |
$84.64 |