| 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 |
4,065 |
2,754 |
$108K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,238 |
1,513 |
$35K |
| A7030 |
Full face mask used with positive airway pressure device, each |
231 |
219 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
472 |
444 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,741 |
1,185 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
255 |
239 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
660 |
630 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$256.21 |