| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
753 |
709 |
$64K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,619 |
1,567 |
$33K |
| 91322 |
|
312 |
312 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
706 |
689 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
151 |
131 |
$2K |
| 0012A |
|
137 |
134 |
$950.25 |
| 0011A |
|
159 |
152 |
$608.10 |
| 0064A |
|
71 |
71 |
$440.00 |
| 90674 |
|
97 |
93 |
$248.24 |
| 0001A |
|
31 |
29 |
$240.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$228.65 |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
17 |
13 |
$75.00 |
| 90694 |
|
62 |
62 |
$0.00 |
| 90480 |
|
338 |
338 |
$0.00 |
| 90686 |
|
56 |
56 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
500 |
500 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
49 |
49 |
$0.00 |
| 90677 |
|
19 |
19 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| 91306 |
|
19 |
19 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 90756 |
|
23 |
23 |
$0.00 |
| 90653 |
|
91 |
91 |
$0.00 |
| 91320 |
|
25 |
25 |
$0.00 |
| 0004A |
|
49 |
49 |
$0.00 |
| 0124A |
|
16 |
16 |
$0.00 |
| 90661 |
|
74 |
74 |
$0.00 |