| 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 |
138 |
131 |
$11K |
| A7000 |
Canister, disposable, used with suction pump, each |
193 |
155 |
$3K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
39 |
25 |
$3K |
| A7002 |
Tubing, used with suction pump, each |
255 |
209 |
$1K |
| A7526 |
Tracheostomy tube collar/holder, each |
15 |
13 |
$416.74 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
28 |
24 |
$409.41 |