| 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 |
1,552 |
1,450 |
$53K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,136 |
1,061 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
185 |
179 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
54 |
52 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
240 |
229 |
$758.09 |
| A4335 |
Incontinence supply; miscellaneous |
25 |
24 |
$68.77 |