| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,941 |
3,883 |
$320K |
| E1390 |
Oxygen concentrator |
7,339 |
7,265 |
$283K |
| E1035 |
Patient transfer system <300 |
3,468 |
3,440 |
$277K |
| K0002 |
Stnd hemi (low seat) whlchr |
9,968 |
9,866 |
$133K |
| E0250 |
Hosp bed fixed ht w/ mattres |
4,610 |
4,582 |
$77K |
| E0431 |
Portable gaseous 02 |
7,049 |
6,980 |
$55K |
| E0570 |
Nebulizer with compression |
4,334 |
4,274 |
$53K |
| L0464 |
Tlso 4mod sacro-scap pre |
707 |
703 |
$37K |
| E0143 |
Walker folding wheeled w/o s |
1,207 |
1,204 |
$15K |
| E2611 |
Gen use back cush wdth <22in |
447 |
444 |
$12K |
| E0295 |
Hosp bed semi-elect w/o matt |
493 |
490 |
$11K |
| E1031 |
Rollabout chair with casters |
840 |
837 |
$10K |
| E0601 |
Cont airway pressure device |
154 |
148 |
$8K |
| E2601 |
Gen w/c cushion wdth < 22 in |
455 |
452 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
532 |
523 |
$3K |
| E0951 |
Loop heel |
464 |
458 |
$3K |
| L1832 |
Ko adj jnt pos r sup pre cst |
67 |
43 |
$3K |
| E0156 |
Walker seat attachment |
796 |
795 |
$3K |
| E0291 |
Hosp bed fx ht w/o rail w/o |
453 |
438 |
$2K |
| E0163 |
Commode chair with fixed arm |
146 |
145 |
$2K |
| E0961 |
Wheelchair brake extension |
413 |
407 |
$2K |
| K0001 |
Standard wheelchair |
69 |
62 |
$1K |
| E0245 |
Tub stool or bench |
13 |
13 |
$523.84 |
| A7037 |
Pos airway pressure tubing |
27 |
26 |
$406.89 |
| K0195 |
Elevating whlchair leg rests |
36 |
36 |
$139.68 |
| A7015 |
Aerosol mask used w nebulize |
41 |
41 |
$53.87 |
| A7003 |
Nebulizer administration set |
24 |
24 |
$48.07 |
| A7038 |
Pos airway pressure filter |
15 |
14 |
$40.81 |