| 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 |
1,082 |
961 |
$68K |
| E0570 |
Nebulizer, with compressor |
126 |
124 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13 |
13 |
$128.57 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$26.26 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
26 |
25 |
$13.25 |