| 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 |
3,274 |
3,132 |
$151K |
| E0570 |
Nebulizer, with compressor |
2,167 |
2,053 |
$87K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,360 |
2,260 |
$25K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,949 |
1,808 |
$8K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,714 |
1,208 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
62 |
62 |
$197.38 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$0.00 |