| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
1,318 |
1,175 |
$29K |
| T4521 |
Adult size brief/diaper sm |
207 |
181 |
$18K |
| E1390 |
Oxygen concentrator |
249 |
244 |
$17K |
| A7005 |
Nondisposable nebulizer set |
219 |
183 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
38 |
38 |
$2K |
| T4522 |
Adult size brief/diaper med |
17 |
12 |
$2K |
| K0001 |
Standard wheelchair |
173 |
167 |
$1K |
| E0601 |
Cont airway pressure device |
40 |
39 |
$881.99 |
| A7015 |
Aerosol mask used w nebulize |
163 |
142 |
$160.56 |
| A7038 |
Pos airway pressure filter |
16 |
12 |
$30.52 |
| A7003 |
Nebulizer administration set |
29 |
20 |
$0.00 |