| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0147 |
Walker variable wheel resist |
2,117 |
2,074 |
$449K |
| K0001 |
Standard wheelchair |
3,725 |
3,679 |
$295K |
| E0601 |
Cont airway pressure device |
638 |
620 |
$121K |
| A4670 |
Automatic bp monitor, dial |
3,005 |
2,817 |
$108K |
| E0570 |
Nebulizer with compression |
1,435 |
1,375 |
$92K |
| E1390 |
Oxygen concentrator |
604 |
560 |
$64K |
| A6545 |
Grad com non-elastic bk surg |
674 |
398 |
$51K |
| E0562 |
Humidifier heated used w pap |
556 |
538 |
$48K |
| A7005 |
Nondisposable nebulizer set |
935 |
899 |
$41K |
| E0143 |
Walker folding wheeled w/o s |
867 |
829 |
$35K |
| E0156 |
Walker seat attachment |
2,441 |
2,395 |
$32K |
| E0245 |
Tub stool or bench |
781 |
766 |
$32K |
| K0003 |
Lightweight wheelchair |
262 |
250 |
$31K |
| A7030 |
Cpap full face mask |
184 |
183 |
$30K |
| L3908 |
Who cock-up nonmolde pre ots |
548 |
357 |
$18K |
| E0431 |
Portable gaseous 02 |
529 |
442 |
$12K |
| E0100 |
Cane adjust/fixed with tip |
923 |
914 |
$11K |
| L3809 |
Whfo w/o joints pre ots |
99 |
71 |
$11K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
14 |
14 |
$9K |
| A7035 |
Pos airway press headgear |
219 |
218 |
$6K |
| L1833 |
Ko adj jnt pos r sup pre ots |
14 |
14 |
$6K |
| E0163 |
Commode chair with fixed arm |
113 |
112 |
$5K |
| A7037 |
Pos airway pressure tubing |
232 |
231 |
$5K |
| E0105 |
Cane adjust/fixed quad/3 pro |
178 |
177 |
$4K |
| E0603 |
Electric breast pump |
35 |
35 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
49 |
36 |
$3K |
| A7034 |
Nasal application device |
37 |
37 |
$3K |
| E0978 |
W/c acc,saf belt pelv strap |
197 |
197 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
51 |
51 |
$1K |
| A7039 |
Filter, non disposable w pap |
146 |
146 |
$1K |
| E0990 |
Wheelchair elevating leg res |
18 |
12 |
$889.60 |
| A7038 |
Pos airway pressure filter |
177 |
175 |
$863.43 |
| A7036 |
Pos airway press chinstrap |
70 |
70 |
$833.16 |
| A7015 |
Aerosol mask used w nebulize |
234 |
231 |
$248.89 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$160.15 |