| 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 |
3,151 |
2,439 |
$125K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
406 |
388 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,071 |
827 |
$14K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
53 |
49 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
27 |
24 |
$897.86 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
180 |
131 |
$320.10 |
| A7035 |
Headgear used with positive airway pressure device |
15 |
12 |
$177.26 |