| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0277 |
Powered pres-redu air mattrs |
2,455 |
2,349 |
$827K |
| E0303 |
Hosp bed hvy dty xtra wide |
992 |
946 |
$152K |
| E2402 |
Neg press wound therapy pump |
117 |
109 |
$109K |
| E0601 |
Cont airway pressure device |
1,205 |
1,122 |
$58K |
| K0001 |
Standard wheelchair |
1,683 |
1,613 |
$54K |
| E0562 |
Humidifier heated used w pap |
1,414 |
1,304 |
$19K |
| E0570 |
Nebulizer with compression |
87 |
87 |
$9K |
| K0007 |
Extra heavy duty wheelchair |
67 |
65 |
$9K |
| E0295 |
Hosp bed semi-elect w/o matt |
106 |
102 |
$6K |
| K0195 |
Elevating whlchair leg rests |
384 |
377 |
$5K |
| E0305 |
Rails bed side half length |
117 |
111 |
$917.21 |
| A7035 |
Pos airway press headgear |
26 |
26 |
$697.09 |
| E1390 |
Oxygen concentrator |
16 |
14 |
$550.65 |
| E0272 |
Mattress foam rubber |
58 |
55 |
$465.62 |
| A7037 |
Pos airway pressure tubing |
13 |
13 |
$269.51 |
| A7038 |
Pos airway pressure filter |
13 |
13 |
$45.68 |