| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
575 |
565 |
$13K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
314 |
314 |
$7K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
12 |
12 |
$792.19 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$675.37 |
| A7035 |
Headgear used with positive airway pressure device |
43 |
43 |
$251.42 |
| A7037 |
Tubing used with positive airway pressure device |
36 |
36 |
$233.62 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
160 |
160 |
$170.20 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
229 |
134 |
$113.78 |