| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
394 |
353 |
$21K |
| K0001 |
Standard wheelchair |
370 |
348 |
$10K |
| E0570 |
Nebulizer, with compressor |
156 |
131 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
300 |
277 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
26 |
24 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
19 |
13 |
$281.44 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
12 |
$108.72 |