| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,409 |
3,576 |
$168K |
| E0431 |
Portable gaseous 02 |
2,572 |
2,266 |
$46K |
| E0601 |
Cont airway pressure device |
1,182 |
1,073 |
$40K |
| K0001 |
Standard wheelchair |
2,437 |
2,258 |
$36K |
| E0260 |
Hosp bed semi-electr w/ matt |
923 |
827 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
403 |
358 |
$8K |
| E0562 |
Humidifier heated used w pap |
341 |
303 |
$4K |
| E1392 |
Portable oxygen concentrator |
295 |
245 |
$1K |
| A7038 |
Pos airway pressure filter |
188 |
165 |
$1K |
| E0163 |
Commode chair with fixed arm |
58 |
53 |
$1K |
| A7037 |
Pos airway pressure tubing |
67 |
61 |
$672.02 |
| A7035 |
Pos airway press headgear |
29 |
27 |
$348.84 |
| E0630 |
Patient lift hydraulic |
14 |
13 |
$131.70 |
| E0156 |
Walker seat attachment |
42 |
38 |
$6.57 |