| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
398 |
374 |
$28K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
71 |
64 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
230 |
218 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
24 |
12 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
134 |
120 |
$466.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
336 |
310 |
$434.19 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
59 |
37 |
$239.28 |