| 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 |
1,305 |
1,297 |
$48K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
40 |
40 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
556 |
555 |
$8K |
| K0001 |
Standard wheelchair |
24 |
24 |
$187.25 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$73.38 |