| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
298 |
281 |
$29K |
| E0619 |
Apnea monitor, with recording feature |
140 |
130 |
$16K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
336 |
319 |
$15K |
| E0570 |
Nebulizer, with compressor |
390 |
362 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
340 |
317 |
$14K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
77 |
73 |
$6K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
62 |
62 |
$3K |
| K0001 |
Standard wheelchair |
121 |
121 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
337 |
319 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
26 |
26 |
$52.70 |