| 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 |
1,694 |
1,570 |
$80K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
139 |
136 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
29 |
24 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
208 |
194 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
12 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
24 |
24 |
$894.15 |
| E1392 |
Portable oxygen concentrator, rental |
46 |
36 |
$403.79 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
13 |
$111.79 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15 |
14 |
$77.91 |