| 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 |
2,577 |
2,020 |
$61K |
| E0570 |
Nebulizer, with compressor |
1,631 |
1,348 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,426 |
1,864 |
$21K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
166 |
157 |
$4K |
| K0001 |
Standard wheelchair |
177 |
150 |
$845.80 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
40 |
38 |
$235.24 |