| 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 |
2,443 |
2,401 |
$120K |
| E0601 |
Continuous positive airway pressure (cpap) device |
291 |
291 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
992 |
978 |
$8K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
13 |
13 |
$365.82 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
27 |
27 |
$63.19 |