| 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 |
8,218 |
7,582 |
$630K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,219 |
2,981 |
$55K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,229 |
1,095 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
526 |
483 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
905 |
838 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
616 |
564 |
$13K |
| E0570 |
Nebulizer, with compressor |
344 |
325 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
331 |
302 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
452 |
415 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
12 |
12 |
$347.33 |