| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,005 |
902 |
$43K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
570 |
479 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
265 |
239 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
934 |
824 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
394 |
341 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
186 |
159 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
789 |
688 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
131 |
121 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
75 |
68 |
$516.00 |