| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,805 |
5,770 |
$101K |
| E0466 |
Home vent non-invasive inter |
357 |
355 |
$45K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,581 |
1,570 |
$20K |
| K0003 |
Lightweight wheelchair |
1,954 |
1,921 |
$11K |
| E0431 |
Portable gaseous 02 |
2,767 |
2,750 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
734 |
732 |
$6K |
| K0001 |
Standard wheelchair |
1,615 |
1,603 |
$6K |
| E0601 |
Cont airway pressure device |
478 |
473 |
$4K |
| E1392 |
Portable oxygen concentrator |
1,922 |
1,906 |
$3K |
| E0630 |
Patient lift hydraulic |
163 |
162 |
$2K |
| E0562 |
Humidifier heated used w pap |
627 |
621 |
$1K |
| K0195 |
Elevating whlchair leg rests |
962 |
954 |
$1K |
| A7037 |
Pos airway pressure tubing |
13 |
12 |
$21.95 |
| K0037 |
Hi mount flip-up footrest ea |
92 |
92 |
$8.62 |
| A7038 |
Pos airway pressure filter |
13 |
12 |
$5.88 |
| K0045 |
Ftrst compl assembly repl ea |
164 |
159 |
$0.00 |