| 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 |
1,334 |
1,291 |
$68K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
431 |
410 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
124 |
122 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
384 |
373 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$337.09 |
| E0601 |
Continuous positive airway pressure (cpap) device |
12 |
12 |
$289.72 |
| A7035 |
Headgear used with positive airway pressure device |
15 |
15 |
$259.63 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
30 |
28 |
$22.34 |