| 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 |
1,613 |
1,500 |
$234K |
| E0570 |
Nebulizer, with compressor |
1,156 |
1,132 |
$91K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
242 |
241 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,594 |
1,495 |
$23K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
108 |
105 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,202 |
1,173 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
20 |
20 |
$1K |
| K0001 |
Standard wheelchair |
24 |
24 |
$933.87 |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,132 |
1,102 |
$352.72 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,163 |
1,132 |
$262.35 |