| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
863 |
861 |
$101K |
| E1390 |
Oxygen concentrator |
1,520 |
1,502 |
$80K |
| E0570 |
Nebulizer with compression |
2,297 |
2,251 |
$49K |
| E0143 |
Walker folding wheeled w/o s |
1,003 |
963 |
$42K |
| E0601 |
Cont airway pressure device |
974 |
954 |
$38K |
| E0431 |
Portable gaseous 02 |
2,012 |
1,989 |
$29K |
| K0001 |
Standard wheelchair |
919 |
894 |
$20K |
| K0195 |
Elevating whlchair leg rests |
1,732 |
1,690 |
$9K |
| E0562 |
Humidifier heated used w pap |
989 |
986 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
24 |
24 |
$3K |
| A4253 |
Blood glucose/reagent strips |
46 |
44 |
$1K |
| A7005 |
Nondisposable nebulizer set |
67 |
65 |
$817.21 |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$795.56 |
| A7015 |
Aerosol mask used w nebulize |
128 |
127 |
$189.37 |
| A4259 |
Lancets per box |
46 |
44 |
$180.57 |
| E0156 |
Walker seat attachment |
24 |
24 |
$156.12 |
| A7003 |
Nebulizer administration set |
36 |
36 |
$53.66 |