| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
4,631 |
4,323 |
$213K |
| K0001 |
Standard wheelchair |
14,745 |
13,086 |
$193K |
| E1390 |
Oxygen concentrator |
3,909 |
3,510 |
$164K |
| E0260 |
Hosp bed semi-electr w/ matt |
6,166 |
5,317 |
$144K |
| E0143 |
Walker folding wheeled w/o s |
4,025 |
3,552 |
$106K |
| E0163 |
Commode chair with fixed arm |
2,622 |
2,308 |
$68K |
| K0195 |
Elevating whlchair leg rests |
10,900 |
9,397 |
$51K |
| E0431 |
Portable gaseous 02 |
3,914 |
3,525 |
$38K |
| E0630 |
Patient lift hydraulic |
1,756 |
1,517 |
$27K |
| K0006 |
Heavy duty wheelchair |
1,208 |
1,024 |
$26K |
| E0601 |
Cont airway pressure device |
677 |
574 |
$19K |
| E2601 |
Gen w/c cushion wdth < 22 in |
788 |
646 |
$11K |
| K0007 |
Extra heavy duty wheelchair |
115 |
105 |
$6K |
| E0303 |
Hosp bed hvy dty xtra wide |
24 |
24 |
$2K |
| E0181 |
Press pad alternating w/ pum |
390 |
328 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
817 |
649 |
$475.58 |
| E0185 |
Gel pressure mattress pad |
14 |
12 |
$468.96 |
| A7003 |
Nebulizer administration set |
262 |
229 |
$412.10 |
| E0910 |
Trapeze bar attached to bed |
66 |
63 |
$298.41 |