| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0431 |
Portable gaseous 02 |
2,086 |
1,876 |
$90K |
| E1390 |
Oxygen concentrator |
2,268 |
2,037 |
$58K |
| E0470 |
Rad w/o backup non-inv intfc |
195 |
193 |
$24K |
| E0601 |
Cont airway pressure device |
861 |
833 |
$23K |
| E0562 |
Humidifier heated used w pap |
791 |
768 |
$23K |
| K0001 |
Standard wheelchair |
609 |
554 |
$4K |
| E0570 |
Nebulizer with compression |
1,058 |
963 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
501 |
425 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
61 |
53 |
$2K |
| K0195 |
Elevating whlchair leg rests |
209 |
194 |
$1K |
| E0163 |
Commode chair with fixed arm |
13 |
12 |
$337.22 |
| A7005 |
Nondisposable nebulizer set |
14 |
14 |
$123.53 |
| A7038 |
Pos airway pressure filter |
168 |
153 |
$93.47 |
| E0443 |
Portable 02 contents, gas |
13 |
12 |
$39.04 |
| A7037 |
Pos airway pressure tubing |
168 |
153 |
$26.66 |
| A7015 |
Aerosol mask used w nebulize |
26 |
26 |
$4.38 |
| A7035 |
Pos airway press headgear |
42 |
39 |
$2.93 |
| A7034 |
Nasal application device |
27 |
26 |
$0.00 |