| 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 |
5,553 |
4,855 |
$445K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,701 |
2,336 |
$59K |
| E0570 |
Nebulizer, with compressor |
815 |
712 |
$35K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
495 |
456 |
$2K |
| K0001 |
Standard wheelchair |
62 |
49 |
$718.57 |