| 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 |
4,876 |
3,970 |
$358K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,583 |
2,132 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
302 |
186 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
16 |
12 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
69 |
37 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
369 |
250 |
$840.18 |
| A7035 |
Headgear used with positive airway pressure device |
37 |
26 |
$330.92 |
| A7031 |
Face mask interface, replacement for full face mask, each |
16 |
15 |
$323.72 |