| 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 |
970 |
967 |
$62K |
| E0601 |
Continuous positive airway pressure (cpap) device |
134 |
134 |
$17K |
| E0570 |
Nebulizer, with compressor |
313 |
309 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
230 |
230 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
55 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
27 |
27 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
208 |
208 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
107 |
106 |
$927.68 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
194 |
193 |
$243.40 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12 |
12 |
$138.76 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
29 |
$86.86 |