| 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 |
920 |
905 |
$44K |
| E0601 |
Continuous positive airway pressure (cpap) device |
950 |
931 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
205 |
132 |
$804.48 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
24 |
24 |
$385.92 |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
12 |
12 |
$204.48 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$178.45 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25 |
25 |
$137.60 |