| 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 |
265 |
263 |
$23K |
| E0601 |
Continuous positive airway pressure (cpap) device |
413 |
410 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
378 |
378 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
27 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
179 |
178 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
75 |
75 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
13 |
$769.39 |
| A7035 |
Headgear used with positive airway pressure device |
26 |
26 |
$538.93 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$80.90 |