| 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 |
436 |
416 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
242 |
234 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
281 |
262 |
$9K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
36 |
32 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
78 |
78 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
36 |
36 |
$2K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
12 |
12 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
14 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
57 |
57 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
114 |
114 |
$781.61 |
| E0570 |
Nebulizer, with compressor |
15 |
15 |
$586.28 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
37 |
37 |
$565.60 |