| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0194 |
Air fluidized bed |
18,733 |
12,478 |
$17.41M |
| E1399 |
Durable medical equipment mi |
6,642 |
3,973 |
$13.12M |
| E0277 |
Powered pres-redu air mattrs |
11,775 |
9,151 |
$909K |
| E0371 |
Nonpower mattress overlay |
5,090 |
3,637 |
$368K |
| E0261 |
Hosp bed semi-electr w/o mat |
7,413 |
5,582 |
$211K |
| E0940 |
Trapeze bar free standing |
3,109 |
2,273 |
$39K |
| E0372 |
Powered air mattress overlay |
328 |
266 |
$35K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,157 |
903 |
$21K |
| E2622 |
Adj skin pro w/c cus wd<22in |
242 |
167 |
$17K |
| E0910 |
Trapeze bar attached to bed |
1,492 |
1,123 |
$12K |
| K0739 |
Repair/svc dme non-oxygen eq |
23 |
13 |
$24.73 |