| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,903 |
3,870 |
$337K |
| E0570 |
Nebulizer with compression |
3,782 |
3,758 |
$279K |
| E0424 |
Stationary compressed gas 02 |
1,322 |
1,307 |
$187K |
| E0445 |
Oximeter non-invasive |
653 |
637 |
$168K |
| E0431 |
Portable gaseous 02 |
4,381 |
4,337 |
$83K |
| E0601 |
Cont airway pressure device |
1,182 |
1,174 |
$58K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,291 |
1,256 |
$48K |
| A7005 |
Nondisposable nebulizer set |
2,529 |
2,517 |
$39K |
| K0001 |
Standard wheelchair |
1,608 |
1,576 |
$38K |
| K0195 |
Elevating whlchair leg rests |
2,868 |
2,822 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,415 |
1,409 |
$14K |
| A7015 |
Aerosol mask used w nebulize |
3,131 |
3,054 |
$6K |
| A4627 |
Spacer bag/reservoir |
428 |
425 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
53 |
51 |
$2K |
| E0443 |
Portable 02 contents, gas |
106 |
94 |
$2K |
| A4606 |
Oxygen probe used w oximeter |
19 |
14 |
$2K |
| A7037 |
Pos airway pressure tubing |
26 |
26 |
$690.21 |
| A7035 |
Pos airway press headgear |
27 |
26 |
$680.13 |
| E0600 |
Suction pump portab hom modl |
38 |
38 |
$620.64 |
| A7038 |
Pos airway pressure filter |
96 |
95 |
$601.42 |
| A7003 |
Nebulizer administration set |
954 |
950 |
$553.87 |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$424.92 |
| K0003 |
Lightweight wheelchair |
12 |
12 |
$324.47 |
| E0951 |
Loop heel |
29 |
27 |
$285.83 |
| A7046 |
Repl water chamber, pap dev |
24 |
24 |
$208.69 |