| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,762 |
5,691 |
$249K |
| E0570 |
Nebulizer with compression |
1,625 |
1,343 |
$44K |
| E0431 |
Portable gaseous 02 |
4,360 |
3,655 |
$41K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,158 |
1,666 |
$37K |
| K0001 |
Standard wheelchair |
2,652 |
2,120 |
$17K |
| K0195 |
Elevating whlchair leg rests |
2,580 |
2,102 |
$8K |
| E0601 |
Cont airway pressure device |
165 |
109 |
$5K |
| L3908 |
Who cock-up nonmolde pre ots |
77 |
59 |
$2K |
| A7003 |
Nebulizer administration set |
1,042 |
938 |
$2K |
| E0562 |
Humidifier heated used w pap |
227 |
180 |
$2K |
| A7038 |
Pos airway pressure filter |
659 |
552 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
426 |
392 |
$411.98 |
| E1392 |
Portable oxygen concentrator |
15 |
13 |
$355.02 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$329.36 |
| A7037 |
Pos airway pressure tubing |
35 |
26 |
$162.24 |