| 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 |
288 |
278 |
$26K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
62 |
53 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
176 |
165 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
121 |
110 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
27 |
25 |
$978.75 |
| A7035 |
Headgear used with positive airway pressure device |
14 |
12 |
$300.54 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
56 |
46 |
$256.90 |