| 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 |
4,804 |
4,569 |
$362K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,842 |
1,627 |
$53K |
| E1392 |
Portable oxygen concentrator, rental |
2,415 |
2,300 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
871 |
838 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
678 |
600 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,214 |
1,160 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,930 |
2,753 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
643 |
568 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
164 |
145 |
$9K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
201 |
155 |
$7K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
87 |
67 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
89 |
81 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
146 |
140 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
15 |
15 |
$261.76 |