| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,102 |
2,032 |
$104K |
| E0570 |
Nebulizer with compression |
864 |
818 |
$41K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,081 |
1,069 |
$22K |
| E0431 |
Portable gaseous 02 |
1,822 |
1,767 |
$20K |
| E0601 |
Cont airway pressure device |
726 |
688 |
$8K |
| A7005 |
Nondisposable nebulizer set |
455 |
421 |
$8K |
| K0001 |
Standard wheelchair |
1,789 |
1,775 |
$5K |
| E0181 |
Press pad alternating w/ pum |
837 |
824 |
$3K |
| A4253 |
Blood glucose/reagent strips |
52 |
52 |
$3K |
| E2203 |
Frame depth less than 22 in |
1,345 |
1,337 |
$3K |
| E0973 |
W/ch access det adj armrest |
3,731 |
1,865 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
2,711 |
1,353 |
$1K |
| E0630 |
Patient lift hydraulic |
51 |
49 |
$537.39 |
| A4259 |
Lancets per box |
53 |
52 |
$456.95 |
| E0961 |
Wheelchair brake extension |
2,851 |
1,421 |
$405.10 |
| A7037 |
Pos airway pressure tubing |
56 |
56 |
$329.97 |
| E0951 |
Loop heel |
3,718 |
1,844 |
$192.97 |
| A7015 |
Aerosol mask used w nebulize |
70 |
69 |
$100.94 |
| A7035 |
Pos airway press headgear |
17 |
17 |
$55.08 |
| A7039 |
Filter, non disposable w pap |
27 |
27 |
$44.94 |
| A7038 |
Pos airway pressure filter |
29 |
29 |
$32.64 |