| 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 |
871 |
715 |
$68K |
| E0601 |
Continuous positive airway pressure (cpap) device |
282 |
254 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
30 |
29 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
337 |
283 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$231.34 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
14 |
$77.89 |