| 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 |
270 |
257 |
$24K |
| E0601 |
Continuous positive airway pressure (cpap) device |
78 |
68 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
26 |
25 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$608.85 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
86 |
83 |
$546.60 |
| A7035 |
Headgear used with positive airway pressure device |
16 |
15 |
$307.68 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14 |
14 |
$282.93 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$114.79 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
12 |
$36.12 |