| 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 |
141 |
121 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
95 |
89 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
324 |
316 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
39 |
39 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
54 |
53 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
25 |
25 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
41 |
40 |
$305.11 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15 |
12 |
$188.40 |