| 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 |
4,416 |
4,065 |
$408K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,495 |
1,394 |
$73K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,021 |
1,836 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,669 |
1,547 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
211 |
204 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
658 |
625 |
$16K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
238 |
233 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
564 |
540 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,216 |
1,167 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
305 |
297 |
$3K |
| T4541 |
Incontinence product, disposable underpad, large, each |
39 |
38 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
55 |
53 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
30 |
25 |
$124.26 |