| 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 |
1,026 |
1,022 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
327 |
327 |
$2K |
| E0570 |
Nebulizer, with compressor |
26 |
26 |
$195.91 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
100 |
100 |
$179.55 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
14 |
$6.41 |