| 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 |
2,608 |
2,271 |
$140K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,043 |
910 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
485 |
416 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
304 |
271 |
$5K |
| E0570 |
Nebulizer, with compressor |
243 |
208 |
$5K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
137 |
119 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
98 |
85 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
162 |
137 |
$870.59 |
| B9998 |
Noc for enteral supplies |
17 |
12 |
$561.11 |
| A7035 |
Headgear used with positive airway pressure device |
29 |
24 |
$484.63 |
| A4335 |
Incontinence supply; miscellaneous |
16 |
15 |
$280.80 |