| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,566 |
2,167 |
$76K |
| E0601 |
Cont airway pressure device |
990 |
897 |
$21K |
| K0001 |
Standard wheelchair |
1,727 |
1,347 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
742 |
566 |
$10K |
| E0570 |
Nebulizer with compression |
763 |
675 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
244 |
204 |
$3K |
| E1392 |
Portable oxygen concentrator |
354 |
300 |
$738.76 |
| E0562 |
Humidifier heated used w pap |
344 |
308 |
$620.53 |
| K0738 |
Portable gas oxygen system |
308 |
290 |
$570.28 |
| E0431 |
Portable gaseous 02 |
39 |
37 |
$161.51 |
| K0195 |
Elevating whlchair leg rests |
62 |
49 |
$93.41 |
| E0156 |
Walker seat attachment |
32 |
28 |
$11.88 |
| A7030 |
Cpap full face mask |
13 |
12 |
$8.59 |
| A4604 |
Tubing with heating element |
168 |
157 |
$0.00 |
| A7038 |
Pos airway pressure filter |
232 |
215 |
$0.00 |
| A7035 |
Pos airway press headgear |
41 |
38 |
$0.00 |
| A7034 |
Nasal application device |
25 |
25 |
$0.00 |