| 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 |
2,379 |
2,061 |
$150K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,398 |
1,218 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
127 |
119 |
$5K |
| E0570 |
Nebulizer, with compressor |
389 |
385 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
46 |
42 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
110 |
104 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
338 |
317 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
55 |
55 |
$980.69 |
| A7035 |
Headgear used with positive airway pressure device |
25 |
25 |
$457.27 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$24.76 |