| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,327 |
5,881 |
$269K |
| E0570 |
Nebulizer with compression |
5,151 |
4,602 |
$251K |
| E0431 |
Portable gaseous 02 |
3,087 |
2,770 |
$44K |
| E0260 |
Hosp bed semi-electr w/ matt |
849 |
781 |
$22K |
| A7005 |
Nondisposable nebulizer set |
1,000 |
932 |
$19K |
| K0738 |
Portable gas oxygen system |
2,237 |
2,186 |
$14K |
| E0601 |
Cont airway pressure device |
405 |
383 |
$4K |
| K0001 |
Standard wheelchair |
806 |
758 |
$3K |
| A4253 |
Blood glucose/reagent strips |
16 |
13 |
$703.65 |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$289.86 |
| A7038 |
Pos airway pressure filter |
103 |
101 |
$273.17 |
| A7037 |
Pos airway pressure tubing |
80 |
78 |
$267.41 |
| A7003 |
Nebulizer administration set |
58 |
51 |
$104.54 |