| 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 |
894 |
881 |
$53K |
| E0601 |
Continuous positive airway pressure (cpap) device |
161 |
160 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
496 |
486 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
284 |
274 |
$2K |
| E0570 |
Nebulizer, with compressor |
301 |
299 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
231 |
227 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$267.27 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$76.90 |