| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
904 |
899 |
$70K |
| E0601 |
Continuous positive airway pressure (cpap) device |
752 |
748 |
$23K |
| K0001 |
Standard wheelchair |
360 |
350 |
$8K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
145 |
145 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
578 |
575 |
$2K |
| A4554 |
Disposable underpads, all sizes |
25 |
25 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
61 |
61 |
$951.98 |
| A7015 |
Aerosol mask, used with dme nebulizer |
555 |
550 |
$715.16 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$640.61 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
149 |
145 |
$631.47 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12 |
12 |
$120.91 |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
53 |
53 |
$96.38 |