| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,478 |
2,370 |
$612K |
| E1390 |
Oxygen concentrator |
2,891 |
2,861 |
$110K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,213 |
3,123 |
$56K |
| K0001 |
Standard wheelchair |
3,940 |
3,869 |
$50K |
| E0143 |
Walker folding wheeled w/o s |
1,699 |
1,656 |
$36K |
| E0431 |
Portable gaseous 02 |
2,721 |
2,690 |
$33K |
| E0630 |
Patient lift hydraulic |
1,656 |
1,620 |
$31K |
| E0163 |
Commode chair with fixed arm |
811 |
805 |
$16K |
| K0195 |
Elevating whlchair leg rests |
915 |
896 |
$6K |
| E1038 |
Transport chair pt wt<=300lb |
1,218 |
1,194 |
$5K |
| E0601 |
Cont airway pressure device |
321 |
320 |
$5K |
| E0600 |
Suction pump portab hom modl |
232 |
229 |
$5K |
| E0570 |
Nebulizer with compression |
2,140 |
2,111 |
$4K |
| E0562 |
Humidifier heated used w pap |
405 |
399 |
$2K |
| A7031 |
Replacement facemask interfa |
151 |
151 |
$2K |
| A7038 |
Pos airway pressure filter |
677 |
677 |
$1K |
| A4604 |
Tubing with heating element |
24 |
24 |
$550.53 |