| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
429 |
422 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
108 |
106 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
146 |
144 |
$6K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
149 |
143 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
111 |
110 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
15 |
15 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
49 |
49 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
304 |
298 |
$1K |
| E0570 |
Nebulizer, with compressor |
71 |
63 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
27 |
27 |
$522.84 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
73 |
71 |
$414.96 |