| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
610 |
562 |
$24K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
470 |
424 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
170 |
151 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
649 |
593 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
243 |
220 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
96 |
86 |
$3K |
| E0570 |
Nebulizer, with compressor |
419 |
354 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
133 |
115 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
173 |
153 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
46 |
39 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
12 |
$67.57 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
16 |
14 |
$43.67 |