| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 1 | 80 | 4,270 | $50 | $417K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 3 | 20 | 760 | $290 | $389K |
| E0601 | Continuous positive airway pressure (CPAP) device | 11 | 90 | 1,970 | $70 | $242.5K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive… | 14 | 20 | 230 | $290 | $143.2K |
| A7030 | Full face mask used with positive airway pressure device, each | 11 | 80 | 1,050 | $80 | $125.7K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 15 | 80 | 540 | $100 | $103.4K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 6 | 90 | 1,070 | $50 | $94.1K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 26 | 90 | 1,470 | $30 | $86.3K |
| E0424 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | 2 | 10 | 720 | $90 | $85.4K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive… | 6 | 40 | 240 | $120 | $71.2K |