| 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 |
1,176 |
1,099 |
$81K |
| E0601 |
Continuous positive airway pressure (cpap) device |
591 |
545 |
$43K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
619 |
562 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
112 |
108 |
$4K |
| E0570 |
Nebulizer, with compressor |
130 |
121 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
658 |
614 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
158 |
149 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
131 |
117 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$591.42 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
93 |
92 |
$367.58 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
13 |
$99.00 |
| E1392 |
Portable oxygen concentrator, rental |
14 |
12 |
$90.01 |