| 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 |
431 |
427 |
$31K |
| E0601 |
Continuous positive airway pressure (cpap) device |
846 |
828 |
$30K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
480 |
475 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
89 |
89 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
319 |
314 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
765 |
750 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
38 |
37 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
53 |
53 |
$744.70 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
14 |
$623.06 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
13 |
$200.00 |
| E0570 |
Nebulizer, with compressor |
17 |
16 |
$0.00 |