| 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 |
6,125 |
5,504 |
$270K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,686 |
3,285 |
$39K |
| E0570 |
Nebulizer, with compressor |
441 |
387 |
$34K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,257 |
1,145 |
$12K |
| A7015 |
Aerosol mask, used with dme nebulizer |
665 |
624 |
$695.43 |
| E1392 |
Portable oxygen concentrator, rental |
28 |
24 |
$629.32 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
12 |
$244.12 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
55 |
48 |
$130.78 |