| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,967 |
2,863 |
$248K |
| E0601 |
Continuous positive airway pressure (cpap) device |
717 |
683 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,589 |
1,516 |
$19K |
| T4541 |
Incontinence product, disposable underpad, large, each |
197 |
194 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
248 |
239 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
338 |
334 |
$6K |
| E0570 |
Nebulizer, with compressor |
79 |
78 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
13 |
13 |
$273.13 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
26 |
25 |
$133.06 |