| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
2,639 |
2,434 |
$185K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,415 |
1,263 |
$46K |
| K0003 |
Lightweight wheelchair |
1,645 |
1,317 |
$21K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
734 |
675 |
$9K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
32 |
30 |
$4K |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
1,003 |
972 |
$2K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
1,171 |
1,138 |
$1K |
| K0001 |
Standard wheelchair |
124 |
99 |
$523.84 |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
32 |
30 |
$348.00 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
24 |
24 |
$135.44 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
21 |
17 |
$2.58 |