| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,674 |
2,643 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
599 |
593 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
859 |
844 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
568 |
566 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
106 |
105 |
$2K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
12 |
12 |
$918.48 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
129 |
129 |
$721.94 |
| E0570 |
Nebulizer, with compressor |
140 |
139 |
$555.17 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$64.34 |