| 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 |
6,923 |
6,192 |
$505K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,700 |
2,595 |
$24K |
| E0570 |
Nebulizer, with compressor |
286 |
265 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
399 |
386 |
$9K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
24 |
24 |
$520.80 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
72 |
64 |
$255.53 |