| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,527 |
1,375 |
$30K |
| E0570 |
Nebulizer with compression |
2,034 |
1,780 |
$24K |
| E0431 |
Portable gaseous 02 |
1,301 |
1,209 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
219 |
198 |
$2K |
| K0003 |
Lightweight wheelchair |
368 |
313 |
$1K |
| A7038 |
Pos airway pressure filter |
802 |
717 |
$800.91 |
| A7003 |
Nebulizer administration set |
611 |
554 |
$611.52 |
| E0601 |
Cont airway pressure device |
388 |
359 |
$502.16 |
| K0195 |
Elevating whlchair leg rests |
247 |
218 |
$295.46 |
| A7015 |
Aerosol mask used w nebulize |
400 |
364 |
$253.17 |
| A7034 |
Nasal application device |
40 |
39 |
$148.38 |
| A7035 |
Pos airway press headgear |
102 |
84 |
$93.08 |
| A7037 |
Pos airway pressure tubing |
168 |
140 |
$86.24 |
| A7039 |
Filter, non disposable w pap |
42 |
36 |
$24.49 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$8.91 |