| 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 |
1,389 |
1,171 |
$50K |
| E0570 |
Nebulizer, with compressor |
745 |
590 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,437 |
1,047 |
$12K |
| K0001 |
Standard wheelchair |
356 |
352 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
833 |
795 |
$3K |
| K0002 |
Standard hemi (low seat) wheelchair |
12 |
12 |
$349.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
99 |
70 |
$113.29 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
87 |
67 |
$25.66 |