| 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 |
5,099 |
4,240 |
$335K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
960 |
837 |
$43K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,898 |
2,472 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
427 |
368 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
28 |
24 |
$881.10 |
| A7037 |
Tubing used with positive airway pressure device |
40 |
37 |
$759.21 |
| E1392 |
Portable oxygen concentrator, rental |
80 |
74 |
$698.95 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
42 |
26 |
$302.50 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
12 |
$300.27 |