| 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 |
4,751 |
3,854 |
$73K |
| E0570 |
Nebulizer, with compressor |
144 |
124 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,011 |
1,646 |
$10K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
73 |
70 |
$2K |
| K0001 |
Standard wheelchair |
566 |
359 |
$2K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
36 |
36 |
$880.00 |
| A4565 |
Slings |
31 |
29 |
$229.80 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
57 |
56 |
$149.63 |
| E1392 |
Portable oxygen concentrator, rental |
84 |
55 |
$123.84 |