| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
422 |
354 |
$33K |
| E0570 |
Nebulizer with compression |
202 |
153 |
$4K |
| E0431 |
Portable gaseous 02 |
216 |
180 |
$4K |
| E0601 |
Cont airway pressure device |
63 |
46 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
183 |
152 |
$3K |
| L4360 |
Pneumat walking boot pre cst |
13 |
12 |
$1K |
| K0001 |
Standard wheelchair |
108 |
92 |
$1K |
| E0114 |
Crutch underarm pair no wood |
32 |
30 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
33 |
27 |
$811.54 |
| E1392 |
Portable oxygen concentrator |
42 |
30 |
$731.54 |
| E0143 |
Walker folding wheeled w/o s |
162 |
124 |
$696.80 |
| E0156 |
Walker seat attachment |
153 |
117 |
$167.31 |
| E0971 |
Wheelchair anti-tipping devi |
176 |
74 |
$165.13 |
| A7003 |
Nebulizer administration set |
49 |
39 |
$150.50 |
| E0135 |
Walker folding adjust/fixed |
26 |
15 |
$97.74 |
| E0961 |
Wheelchair brake extension |
171 |
75 |
$88.89 |
| E0978 |
W/c acc,saf belt pelv strap |
57 |
44 |
$55.20 |