| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,869 |
1,858 |
$100K |
| E0601 |
Cont airway pressure device |
1,015 |
1,004 |
$51K |
| E0570 |
Nebulizer with compression |
1,503 |
1,492 |
$25K |
| 99605 |
|
487 |
472 |
$23K |
| E0260 |
Hosp bed semi-electr w/ matt |
713 |
712 |
$18K |
| E0431 |
Portable gaseous 02 |
1,252 |
1,249 |
$14K |
| K0003 |
Lightweight wheelchair |
648 |
640 |
$11K |
| E0562 |
Humidifier heated used w pap |
518 |
513 |
$9K |
| Q0513 |
Disp fee inhal drugs/30 days |
1,145 |
1,116 |
$8K |
| A4253 |
Blood glucose/reagent strips |
336 |
323 |
$6K |
| K0002 |
Stnd hemi (low seat) whlchr |
492 |
488 |
$6K |
| 99606 |
|
223 |
220 |
$6K |
| 99607 |
|
534 |
503 |
$5K |
| K0001 |
Standard wheelchair |
161 |
160 |
$4K |
| K0195 |
Elevating whlchair leg rests |
1,021 |
1,014 |
$3K |
| A7003 |
Nebulizer administration set |
1,097 |
1,086 |
$1K |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$1K |
| J7626 |
Budesonide non-comp unit |
39 |
39 |
$989.92 |
| K0006 |
Heavy duty wheelchair |
36 |
36 |
$949.37 |
| J7620 |
Albuterol ipratrop non-comp |
182 |
180 |
$552.91 |
| J7613 |
Albuterol non-comp unit |
109 |
108 |
$318.21 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$253.94 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$230.71 |
| A4259 |
Lancets per box |
62 |
62 |
$116.24 |
| A7038 |
Pos airway pressure filter |
12 |
12 |
$56.64 |