| 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 |
1,353 |
1,348 |
$122K |
| E0601 |
Continuous positive airway pressure (cpap) device |
895 |
893 |
$60K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
225 |
224 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
321 |
321 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
932 |
930 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
92 |
92 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
109 |
109 |
$936.40 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
62 |
61 |
$912.64 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$300.00 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$266.34 |