| 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 |
603 |
559 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
143 |
139 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
80 |
78 |
$2K |
| E0570 |
Nebulizer, with compressor |
51 |
49 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
393 |
369 |
$901.28 |
| E1392 |
Portable oxygen concentrator, rental |
25 |
24 |
$432.70 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
12 |
12 |
$287.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
22 |
22 |
$70.18 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
17 |
$36.04 |