| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
1,076 |
1,001 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
89 |
88 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
13 |
12 |
$1K |
| K0001 |
Standard wheelchair |
54 |
54 |
$530.13 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
28 |
27 |
$367.38 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
237 |
212 |
$223.20 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
141 |
123 |
$40.09 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
21 |
$19.25 |