| 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 |
1,605 |
1,272 |
$117K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,371 |
1,807 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
709 |
566 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
234 |
163 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
170 |
126 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
649 |
462 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
98 |
64 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
43 |
24 |
$160.77 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
29 |
12 |
$47.00 |