| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
638 |
600 |
$33K |
| E0570 |
Nebulizer, with compressor |
1,097 |
999 |
$27K |
| K0004 |
High strength, lightweight wheelchair |
370 |
344 |
$9K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
161 |
143 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
334 |
306 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
477 |
444 |
$361.40 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
116 |
102 |
$283.36 |