| 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 |
3,769 |
3,614 |
$100K |
| E0570 |
Nebulizer, with compressor |
1,384 |
1,300 |
$57K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,087 |
1,985 |
$11K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
552 |
519 |
$853.14 |
| E0601 |
Continuous positive airway pressure (cpap) device |
53 |
53 |
$226.84 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
102 |
101 |
$40.87 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
92 |
92 |
$0.00 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
38 |
38 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$0.00 |