| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
314 |
300 |
$4K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
407 |
394 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
291 |
281 |
$434.53 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
211 |
209 |
$367.08 |
| E0570 |
Nebulizer, with compressor |
345 |
321 |
$303.99 |
| A7031 |
Face mask interface, replacement for full face mask, each |
159 |
151 |
$23.23 |
| A7037 |
Tubing used with positive airway pressure device |
183 |
138 |
$0.00 |
| A7030 |
Full face mask used with positive airway pressure device, each |
152 |
134 |
$0.00 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
29 |
29 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
437 |
318 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
113 |
96 |
$0.00 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
139 |
109 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
182 |
137 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
230 |
159 |
$0.00 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$0.00 |