| 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 |
65 |
63 |
$3K |
| E0570 |
Nebulizer, with compressor |
205 |
205 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
77 |
76 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
32 |
32 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
63 |
63 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
36 |
36 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
136 |
136 |
$532.56 |
| A4927 |
Gloves, non-sterile, per 100 |
15 |
15 |
$419.20 |
| A7035 |
Headgear used with positive airway pressure device |
45 |
43 |
$375.66 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
28 |
28 |
$167.28 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$85.71 |