| 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 |
1,114 |
1,046 |
$63K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
37 |
37 |
$4K |
| E0570 |
Nebulizer, with compressor |
63 |
55 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
28 |
27 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
160 |
138 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
38 |
38 |
$954.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
13 |
$99.20 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
13 |
$36.16 |