| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
871 |
806 |
$39K |
| K0001 |
Standard wheelchair |
1,822 |
1,251 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
293 |
224 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
205 |
154 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
337 |
315 |
$3K |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
246 |
231 |
$533.40 |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
97 |
51 |
$220.93 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
58 |
40 |
$85.93 |
| A7015 |
Aerosol mask, used with dme nebulizer |
28 |
28 |
$25.22 |