| 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 |
8,511 |
7,702 |
$371K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,240 |
3,731 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,208 |
1,170 |
$53K |
| E0570 |
Nebulizer, with compressor |
146 |
132 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
342 |
307 |
$683.25 |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
18 |
12 |
$402.12 |
| A7037 |
Tubing used with positive airway pressure device |
37 |
36 |
$370.60 |