| 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 |
300 |
300 |
$15K |
| E0570 |
Nebulizer, with compressor |
398 |
397 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
63 |
63 |
$4K |
| T4541 |
Incontinence product, disposable underpad, large, each |
48 |
48 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
129 |
129 |
$377.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
66 |
66 |
$213.28 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
24 |
24 |
$174.42 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
19 |
19 |
$54.13 |
| A7015 |
Aerosol mask, used with dme nebulizer |
32 |
32 |
$44.45 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
17 |
17 |
$21.04 |