| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,187 |
4,573 |
$359K |
| E0601 |
Cont airway pressure device |
2,090 |
1,980 |
$112K |
| K0001 |
Standard wheelchair |
7,116 |
6,054 |
$90K |
| E0431 |
Portable gaseous 02 |
4,478 |
3,958 |
$75K |
| E0143 |
Walker folding wheeled w/o s |
1,915 |
1,705 |
$67K |
| E0570 |
Nebulizer with compression |
3,073 |
2,639 |
$64K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,332 |
2,613 |
$46K |
| K0195 |
Elevating whlchair leg rests |
2,921 |
2,557 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,815 |
1,732 |
$12K |
| E0630 |
Patient lift hydraulic |
671 |
545 |
$8K |
| E0163 |
Commode chair with fixed arm |
121 |
111 |
$4K |
| E0600 |
Suction pump portab hom modl |
41 |
37 |
$603.26 |
| E0181 |
Press pad alternating w/ pum |
311 |
217 |
$595.29 |
| A7030 |
Cpap full face mask |
73 |
52 |
$449.55 |
| E0971 |
Wheelchair anti-tipping devi |
51 |
45 |
$248.55 |
| A7037 |
Pos airway pressure tubing |
361 |
260 |
$219.95 |
| A7038 |
Pos airway pressure filter |
504 |
350 |
$160.57 |
| A7035 |
Pos airway press headgear |
303 |
214 |
$116.40 |
| K0003 |
Lightweight wheelchair |
16 |
14 |
$98.10 |
| E1392 |
Portable oxygen concentrator |
107 |
89 |
$8.83 |
| A7034 |
Nasal application device |
19 |
12 |
$0.00 |