| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
222 |
186 |
$14K |
| K0003 |
Lightweight wheelchair |
691 |
685 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
248 |
247 |
$3K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
93 |
90 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
202 |
165 |
$476.16 |
| K0001 |
Standard wheelchair |
80 |
79 |
$368.42 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
24 |
24 |
$273.58 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
203 |
165 |
$170.78 |
| A7015 |
Aerosol mask, used with dme nebulizer |
202 |
165 |
$161.71 |