| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,760 |
1,637 |
$58K |
| K0001 |
Standard wheelchair |
578 |
569 |
$25K |
| E0470 |
Rad w/o backup non-inv intfc |
157 |
154 |
$23K |
| E0277 |
Powered pres-redu air mattrs |
13 |
13 |
$11K |
| E0601 |
Cont airway pressure device |
312 |
295 |
$9K |
| E0431 |
Portable gaseous 02 |
565 |
519 |
$8K |
| E0295 |
Hosp bed semi-elect w/o matt |
86 |
85 |
$7K |
| E0471 |
Rad w/backup non inv intrfc |
15 |
15 |
$7K |
| E1392 |
Portable oxygen concentrator |
736 |
681 |
$6K |
| K0007 |
Extra heavy duty wheelchair |
26 |
26 |
$3K |
| K0003 |
Lightweight wheelchair |
42 |
42 |
$3K |
| E0600 |
Suction pump portab hom modl |
99 |
94 |
$2K |
| E0630 |
Patient lift hydraulic |
33 |
33 |
$2K |
| S9342 |
Hit enteral pump diem |
15 |
13 |
$2K |
| E0562 |
Humidifier heated used w pap |
78 |
78 |
$2K |
| K0195 |
Elevating whlchair leg rests |
94 |
88 |
$1K |
| B4150 |
Ef complet w/intact nutrient |
43 |
35 |
$1K |
| E0570 |
Nebulizer with compression |
132 |
123 |
$420.66 |
| B4034 |
Enter feed supkit syr by day |
28 |
24 |
$318.30 |