| 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 |
575 |
433 |
$16K |
| E0601 |
Continuous positive airway pressure (cpap) device |
191 |
176 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
116 |
88 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
283 |
239 |
$996.98 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
269 |
206 |
$899.05 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,086 |
852 |
$836.54 |
| A7031 |
Face mask interface, replacement for full face mask, each |
124 |
106 |
$824.03 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
41 |
40 |
$675.45 |
| A7035 |
Headgear used with positive airway pressure device |
106 |
97 |
$512.81 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
63 |
61 |
$481.05 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
24 |
$69.48 |
| E0570 |
Nebulizer, with compressor |
37 |
37 |
$36.10 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$3.60 |