| 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 |
527 |
521 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
314 |
312 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
654 |
642 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
416 |
412 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
494 |
492 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
275 |
272 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
198 |
196 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,059 |
1,037 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
114 |
114 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
138 |
137 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
25 |
25 |
$2K |