| 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 |
1,223 |
1,035 |
$47K |
| E0601 |
Continuous positive airway pressure (cpap) device |
725 |
638 |
$17K |
| 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 |
520 |
442 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
24 |
$604.42 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
162 |
139 |
$454.36 |
| E0570 |
Nebulizer, with compressor |
16 |
12 |
$274.00 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
16 |
14 |
$155.88 |