| 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 |
1,346 |
1,232 |
$33K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
187 |
179 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
631 |
563 |
$3K |
| E0570 |
Nebulizer, with compressor |
92 |
83 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
101 |
99 |
$923.08 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
268 |
261 |
$192.53 |