| 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 |
245 |
215 |
$9K |
| 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 |
140 |
123 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
195 |
178 |
$5K |
| E0570 |
Nebulizer, with compressor |
60 |
59 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
27 |
27 |
$733.54 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
13 |
$198.53 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
29 |
27 |
$152.00 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
13 |
$94.16 |