| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
424 |
386 |
$33K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
241 |
228 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
413 |
362 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
64 |
51 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
97 |
92 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
494 |
455 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
64 |
52 |
$975.63 |
| E1392 |
Portable oxygen concentrator, rental |
78 |
76 |
$777.18 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
69 |
64 |
$423.03 |