| 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 |
1,766 |
1,593 |
$115K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,297 |
1,188 |
$15K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
355 |
326 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
122 |
113 |
$382.63 |