| 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 |
43 |
39 |
$886.66 |
| E0601 |
Continuous positive airway pressure (cpap) device |
40 |
38 |
$869.68 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
25 |
$787.43 |
| A7030 |
Full face mask used with positive airway pressure device, each |
18 |
17 |
$704.83 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
33 |
32 |
$700.69 |
| A7031 |
Face mask interface, replacement for full face mask, each |
24 |
23 |
$439.51 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
16 |
16 |
$358.33 |
| A7035 |
Headgear used with positive airway pressure device |
27 |
26 |
$227.62 |
| E0570 |
Nebulizer, with compressor |
19 |
18 |
$153.09 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
44 |
43 |
$104.70 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
18 |
17 |
$98.60 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15 |
13 |
$58.54 |