| 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 |
3,460 |
3,267 |
$258K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,424 |
1,384 |
$80K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
787 |
730 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
229 |
208 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
427 |
420 |
$2K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
38 |
38 |
$998.68 |
| A7035 |
Headgear used with positive airway pressure device |
37 |
37 |
$977.63 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
37 |
37 |
$856.07 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
63 |
61 |
$578.48 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
40 |
39 |
$307.35 |