| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
5,652 |
5,638 |
$523K |
| E1390 |
Oxygen concentrator |
4,320 |
4,295 |
$406K |
| E0445 |
Oximeter non-invasive |
963 |
956 |
$257K |
| E0603 |
Electric breast pump |
1,656 |
1,652 |
$188K |
| A7005 |
Nondisposable nebulizer set |
6,292 |
6,284 |
$100K |
| K0001 |
Standard wheelchair |
3,903 |
3,841 |
$85K |
| E0431 |
Portable gaseous 02 |
4,407 |
4,264 |
$83K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,606 |
1,575 |
$65K |
| E0601 |
Cont airway pressure device |
909 |
907 |
$47K |
| K0003 |
Lightweight wheelchair |
1,031 |
1,028 |
$46K |
| E0135 |
Walker folding adjust/fixed |
1,042 |
1,026 |
$44K |
| K0195 |
Elevating whlchair leg rests |
2,595 |
2,552 |
$24K |
| B9002 |
Enter nutr inf pump any type |
322 |
322 |
$18K |
| E0971 |
Wheelchair anti-tipping devi |
547 |
296 |
$11K |
| E0562 |
Humidifier heated used w pap |
996 |
994 |
$10K |
| E0600 |
Suction pump portab hom modl |
383 |
378 |
$8K |
| E0163 |
Commode chair with fixed arm |
130 |
124 |
$8K |
| A7015 |
Aerosol mask used w nebulize |
6,293 |
6,267 |
$7K |
| B4035 |
Enteral feed supp pump per d |
41 |
36 |
$6K |
| E0776 |
Iv pole |
726 |
722 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
67 |
66 |
$3K |
| A7526 |
Tracheostomy tube collar |
180 |
177 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
112 |
107 |
$2K |
| E0443 |
Portable 02 contents, gas |
160 |
157 |
$2K |
| E2611 |
Gen use back cush wdth <22in |
30 |
28 |
$2K |
| A4629 |
Tracheostomy care kit |
25 |
25 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
87 |
84 |
$2K |
| A7035 |
Pos airway press headgear |
27 |
27 |
$908.30 |
| A7037 |
Pos airway pressure tubing |
27 |
27 |
$861.98 |
| E0565 |
Compressor air power source |
26 |
26 |
$859.51 |
| A6402 |
Sterile gauze <= 16 sq in |
66 |
66 |
$515.93 |
| A7038 |
Pos airway pressure filter |
40 |
40 |
$373.15 |
| A7000 |
Disposable canister for pump |
12 |
12 |
$64.03 |
| A7002 |
Tubing used w suction pump |
36 |
36 |
$62.72 |
| A4628 |
Oropharyngeal suction cath |
12 |
12 |
$26.66 |