| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
184 |
134 |
$10K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
325 |
271 |
$5K |
| 90674 |
|
22 |
22 |
$367.04 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
147 |
126 |
$351.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$218.55 |
| 0011A |
|
16 |
13 |
$68.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 90480 |
|
18 |
18 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 91322 |
|
18 |
18 |
$0.00 |