| 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 |
1,185 |
742 |
$40K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,043 |
784 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
191 |
157 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,351 |
1,085 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
107 |
90 |
$2K |
| E0570 |
Nebulizer, with compressor |
34 |
25 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
168 |
138 |
$480.07 |