| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,231 |
1,112 |
$14K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
397 |
346 |
$5K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
34 |
28 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
248 |
238 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
396 |
377 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
27 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
104 |
101 |
$959.21 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$309.20 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
13 |
$50.82 |