| 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 |
490 |
484 |
$21K |
| E1392 |
Portable oxygen concentrator, rental |
178 |
176 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
79 |
75 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
69 |
67 |
$1K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
59 |
55 |
$859.27 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
14 |
$366.87 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
59 |
57 |
$298.64 |
| A7035 |
Headgear used with positive airway pressure device |
26 |
25 |
$203.49 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$28.60 |