| 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 |
2,895 |
2,478 |
$141K |
| E1392 |
Portable oxygen concentrator, rental |
2,448 |
2,098 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
516 |
476 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
479 |
400 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
335 |
286 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
474 |
430 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,399 |
1,193 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
52 |
$4K |
| E0570 |
Nebulizer, with compressor |
241 |
210 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$137.17 |