| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,431 |
4,272 |
$345K |
| E0431 |
Portable gaseous 02 |
3,906 |
3,768 |
$63K |
| E0570 |
Nebulizer with compression |
2,335 |
2,302 |
$62K |
| E0260 |
Hosp bed semi-electr w/ matt |
648 |
646 |
$19K |
| K0001 |
Standard wheelchair |
812 |
784 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
255 |
250 |
$10K |
| E0149 |
Heavy duty wheeled walker |
191 |
191 |
$3K |
| E0601 |
Cont airway pressure device |
72 |
70 |
$2K |
| E0156 |
Walker seat attachment |
298 |
295 |
$2K |
| A7003 |
Nebulizer administration set |
1,200 |
1,160 |
$2K |
| K0195 |
Elevating whlchair leg rests |
213 |
206 |
$1K |
| E0562 |
Humidifier heated used w pap |
170 |
159 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
989 |
962 |
$994.69 |
| A7037 |
Pos airway pressure tubing |
16 |
16 |
$367.54 |
| E0443 |
Portable 02 contents, gas |
22 |
21 |
$365.17 |
| A7035 |
Pos airway press headgear |
13 |
13 |
$336.96 |
| E1392 |
Portable oxygen concentrator |
14 |
14 |
$329.50 |
| A7038 |
Pos airway pressure filter |
16 |
16 |
$45.54 |