| 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 |
15,138 |
11,832 |
$761K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
2,768 |
2,265 |
$113K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
5,347 |
4,338 |
$107K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
2,056 |
1,797 |
$71K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,159 |
1,070 |
$57K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,810 |
3,881 |
$45K |
| E0435 |
Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor |
162 |
75 |
$12K |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
116 |
51 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$268.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
14 |
$37.48 |