| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
114 |
97 |
$49K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
525 |
514 |
$34K |
| E0570 |
Nebulizer, with compressor |
163 |
163 |
$15K |
| T4541 |
Incontinence product, disposable underpad, large, each |
143 |
141 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
296 |
272 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
155 |
155 |
$5K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
104 |
102 |
$5K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
30 |
28 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
126 |
126 |
$282.88 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12 |
12 |
$140.87 |