| 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 |
308 |
225 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
178 |
158 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
86 |
75 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
384 |
354 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
83 |
61 |
$725.45 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
99 |
93 |
$364.25 |
| A7037 |
Tubing used with positive airway pressure device |
26 |
26 |
$294.62 |
| E0570 |
Nebulizer, with compressor |
13 |
13 |
$226.81 |