| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
8,064 |
7,894 |
$798K |
| A7005 |
Nondisposable nebulizer set |
8,312 |
8,152 |
$139K |
| S8101 |
Spacer with mask |
4,796 |
4,715 |
$109K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,814 |
3,718 |
$81K |
| E1390 |
Oxygen concentrator |
1,239 |
1,215 |
$72K |
| K0003 |
Lightweight wheelchair |
3,818 |
3,755 |
$55K |
| K0001 |
Standard wheelchair |
3,246 |
3,170 |
$47K |
| E0143 |
Walker folding wheeled w/o s |
1,125 |
1,077 |
$27K |
| E0630 |
Patient lift hydraulic |
887 |
858 |
$18K |
| K0195 |
Elevating whlchair leg rests |
2,915 |
2,844 |
$14K |
| A7015 |
Aerosol mask used w nebulize |
9,507 |
9,273 |
$11K |
| E0431 |
Portable gaseous 02 |
614 |
591 |
$9K |
| E0163 |
Commode chair with fixed arm |
351 |
332 |
$7K |
| E0971 |
Wheelchair anti-tipping devi |
546 |
345 |
$7K |
| A4554 |
Disposable underpads |
208 |
193 |
$6K |
| E2601 |
Gen w/c cushion wdth < 22 in |
289 |
269 |
$4K |
| A4614 |
Hand-held pefr meter |
228 |
214 |
$3K |
| A7003 |
Nebulizer administration set |
2,893 |
2,838 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
27 |
26 |
$2K |
| E0149 |
Heavy duty wheeled walker |
335 |
325 |
$2K |
| A4335 |
Incontinence supply |
310 |
288 |
$1K |
| E0973 |
W/ch access det adj armrest |
71 |
39 |
$773.72 |
| E0165 |
Commode chair with detacharm |
498 |
486 |
$738.42 |
| E0961 |
Wheelchair brake extension |
41 |
26 |
$431.11 |
| E0951 |
Loop heel |
15 |
13 |
$117.15 |
| E0910 |
Trapeze bar attached to bed |
24 |
24 |
$46.99 |