| 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 |
4,802 |
4,520 |
$174K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,348 |
4,099 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
567 |
556 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
137 |
128 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
664 |
628 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
386 |
374 |
$6K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
49 |
37 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,212 |
1,156 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
45 |
45 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
64 |
55 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
57 |
56 |
$994.10 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
122 |
114 |
$752.51 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
184 |
174 |
$535.25 |
| A7035 |
Headgear used with positive airway pressure device |
74 |
69 |
$422.17 |