| 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 |
168 |
131 |
$3K |
| 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 |
76 |
66 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
92 |
79 |
$2K |
| E0570 |
Nebulizer, with compressor |
15 |
13 |
$983.79 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15 |
12 |
$94.22 |