| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,614 |
2,594 |
$194K |
| E0431 |
Portable gaseous 02 |
2,541 |
2,523 |
$41K |
| E0601 |
Cont airway pressure device |
640 |
640 |
$37K |
| E0570 |
Nebulizer with compression |
1,157 |
1,143 |
$25K |
| K0001 |
Standard wheelchair |
415 |
413 |
$11K |
| E0562 |
Humidifier heated used w pap |
659 |
659 |
$10K |
| E0603 |
Electric breast pump |
69 |
69 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
152 |
149 |
$7K |
| A7030 |
Cpap full face mask |
13 |
13 |
$1K |
| A7037 |
Pos airway pressure tubing |
44 |
44 |
$991.65 |
| K0003 |
Lightweight wheelchair |
26 |
25 |
$959.37 |
| E0260 |
Hosp bed semi-electr w/ matt |
24 |
24 |
$714.43 |
| A7038 |
Pos airway pressure filter |
39 |
39 |
$458.25 |
| A7035 |
Pos airway press headgear |
13 |
13 |
$328.56 |
| E0156 |
Walker seat attachment |
54 |
53 |
$183.67 |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$128.74 |