| 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 |
534 |
517 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
589 |
561 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
281 |
280 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
112 |
107 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
70 |
69 |
$628.02 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
147 |
146 |
$550.18 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$428.30 |
| E0570 |
Nebulizer, with compressor |
13 |
13 |
$237.97 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
40 |
40 |
$68.95 |