| 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 |
2,222 |
2,025 |
$57K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
254 |
211 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
56 |
53 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
321 |
287 |
$613.96 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$424.01 |
| E0570 |
Nebulizer, with compressor |
74 |
72 |
$410.23 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
58 |
54 |
$342.83 |
| E0601 |
Continuous positive airway pressure (cpap) device |
13 |
12 |
$226.64 |