| 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 |
439 |
403 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
408 |
374 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
40 |
39 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
121 |
115 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
16 |
12 |
$686.88 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
13 |
13 |
$33.59 |
| S9999 |
Sales tax |
385 |
287 |
$1.36 |