| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,849 |
3,804 |
$310K |
| K0001 |
Standard wheelchair |
7,612 |
7,516 |
$191K |
| E0570 |
Nebulizer with compression |
4,937 |
4,848 |
$183K |
| E0601 |
Cont airway pressure device |
1,532 |
1,527 |
$120K |
| E0143 |
Walker folding wheeled w/o s |
1,642 |
1,617 |
$75K |
| E0295 |
Hosp bed semi-elect w/o matt |
615 |
604 |
$62K |
| E0431 |
Portable gaseous 02 |
3,005 |
2,959 |
$46K |
| E0245 |
Tub stool or bench |
468 |
466 |
$27K |
| E0163 |
Commode chair with fixed arm |
522 |
512 |
$25K |
| K0195 |
Elevating whlchair leg rests |
1,911 |
1,889 |
$24K |
| E0443 |
Portable 02 contents, gas |
253 |
241 |
$20K |
| A4604 |
Tubing with heating element |
402 |
402 |
$19K |
| A7033 |
Replacement nasal pillows |
197 |
197 |
$10K |
| E0562 |
Humidifier heated used w pap |
66 |
66 |
$10K |
| A7034 |
Nasal application device |
122 |
122 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
518 |
509 |
$9K |
| K0006 |
Heavy duty wheelchair |
130 |
130 |
$9K |
| A7038 |
Pos airway pressure filter |
998 |
994 |
$8K |
| K0003 |
Lightweight wheelchair |
181 |
178 |
$6K |
| A7035 |
Pos airway press headgear |
201 |
201 |
$6K |
| E0271 |
Mattress innerspring |
285 |
285 |
$6K |
| E0305 |
Rails bed side half length |
323 |
323 |
$5K |
| A7046 |
Repl water chamber, pap dev |
164 |
164 |
$3K |
| E0247 |
Trans bench w/wo comm open |
26 |
26 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,224 |
1,159 |
$2K |
| E0181 |
Press pad alternating w/ pum |
116 |
116 |
$1K |
| K0052 |
Swingaway detach ftrest repl |
43 |
41 |
$529.54 |
| E0630 |
Patient lift hydraulic |
13 |
13 |
$492.55 |
| E0156 |
Walker seat attachment |
37 |
37 |
$307.81 |
| E0971 |
Wheelchair anti-tipping devi |
13 |
12 |
$124.56 |
| A7003 |
Nebulizer administration set |
15 |
12 |
$36.23 |
| A7005 |
Nondisposable nebulizer set |
14 |
14 |
$19.28 |