| 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 |
1,122 |
1,084 |
$112K |
| E0601 |
Continuous positive airway pressure (cpap) device |
604 |
582 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,019 |
981 |
$18K |
| E0570 |
Nebulizer, with compressor |
498 |
486 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
594 |
575 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
50 |
49 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
15 |
15 |
$347.71 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
37 |
37 |
$80.73 |