| 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 |
370 |
358 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
82 |
82 |
$3K |
| E0570 |
Nebulizer, with compressor |
60 |
59 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
177 |
170 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
48 |
48 |
$942.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
52 |
52 |
$191.51 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$46.08 |