| 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 |
6,913 |
6,199 |
$530K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,776 |
3,341 |
$76K |
| E0570 |
Nebulizer, with compressor |
1,299 |
1,160 |
$51K |
| E0601 |
Continuous positive airway pressure (cpap) device |
632 |
551 |
$22K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
451 |
389 |
$6K |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
17 |
12 |
$441.81 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
12 |
$149.04 |