| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,196 |
2,896 |
$241K |
| E0601 |
Cont airway pressure device |
3,493 |
2,143 |
$109K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,655 |
1,646 |
$62K |
| K0738 |
Portable gas oxygen system |
2,060 |
1,366 |
$35K |
| K0001 |
Standard wheelchair |
3,361 |
2,128 |
$34K |
| A7037 |
Pos airway pressure tubing |
588 |
454 |
$8K |
| A7035 |
Pos airway press headgear |
290 |
231 |
$4K |
| E0570 |
Nebulizer with compression |
303 |
186 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
40 |
27 |
$1K |
| A7038 |
Pos airway pressure filter |
268 |
178 |
$667.17 |
| E0630 |
Patient lift hydraulic |
62 |
37 |
$603.68 |
| E0143 |
Walker folding wheeled w/o s |
15 |
12 |
$373.18 |