| 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 |
346 |
329 |
$15K |
| E0570 |
Nebulizer, with compressor |
53 |
50 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
78 |
76 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
126 |
118 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
77 |
77 |
$221.94 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
12 |
$134.91 |