| 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 |
2,164 |
1,874 |
$205K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,312 |
2,158 |
$124K |
| A7030 |
Full face mask used with positive airway pressure device, each |
663 |
621 |
$65K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,433 |
2,280 |
$47K |
| E0570 |
Nebulizer, with compressor |
1,349 |
1,270 |
$39K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
948 |
889 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
862 |
805 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
677 |
646 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
71 |
52 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
25 |
25 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
114 |
108 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
29 |
29 |
$1K |
| T4541 |
Incontinence product, disposable underpad, large, each |
17 |
14 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
36 |
36 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$266.27 |