| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
649 |
649 |
$209K |
| E1390 |
Oxygen concentrator |
2,398 |
2,355 |
$123K |
| K0738 |
Portable gas oxygen system |
1,343 |
1,323 |
$25K |
| K0001 |
Standard wheelchair |
1,000 |
991 |
$17K |
| E0445 |
Oximeter non-invasive |
121 |
121 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
590 |
589 |
$14K |
| E0570 |
Nebulizer with compression |
884 |
863 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
241 |
240 |
$7K |
| K0195 |
Elevating whlchair leg rests |
676 |
674 |
$5K |
| E0600 |
Suction pump portab hom modl |
244 |
244 |
$5K |
| K0003 |
Lightweight wheelchair |
183 |
181 |
$5K |
| E1392 |
Portable oxygen concentrator |
441 |
439 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
55 |
53 |
$1K |
| E0163 |
Commode chair with fixed arm |
41 |
41 |
$1K |
| E0630 |
Patient lift hydraulic |
64 |
64 |
$1K |
| A4604 |
Tubing with heating element |
41 |
41 |
$940.82 |
| E0156 |
Walker seat attachment |
86 |
85 |
$586.13 |
| A7038 |
Pos airway pressure filter |
128 |
125 |
$505.95 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$405.08 |
| E1038 |
Transport chair pt wt<=300lb |
50 |
50 |
$137.39 |
| E0100 |
Cane adjust/fixed with tip |
13 |
12 |
$103.90 |