| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
391 |
389 |
$238K |
| E0470 |
Rad w/o backup non-inv intfc |
97 |
97 |
$227K |
| E0147 |
Walker variable wheel resist |
815 |
809 |
$212K |
| E0562 |
Humidifier heated used w pap |
649 |
644 |
$159K |
| K0195 |
Elevating whlchair leg rests |
351 |
347 |
$85K |
| A7030 |
Cpap full face mask |
360 |
359 |
$66K |
| K0001 |
Standard wheelchair |
97 |
95 |
$55K |
| E0570 |
Nebulizer with compression |
276 |
270 |
$27K |
| E0143 |
Walker folding wheeled w/o s |
329 |
325 |
$22K |
| E0140 |
Walker w trunk support |
109 |
109 |
$20K |
| E0247 |
Trans bench w/wo comm open |
222 |
218 |
$17K |
| A7034 |
Nasal application device |
117 |
115 |
$14K |
| A7037 |
Pos airway pressure tubing |
367 |
362 |
$13K |
| A7035 |
Pos airway press headgear |
318 |
314 |
$12K |
| K0003 |
Lightweight wheelchair |
12 |
12 |
$9K |
| A7031 |
Replacement facemask interfa |
101 |
100 |
$7K |
| A7038 |
Pos airway pressure filter |
256 |
253 |
$7K |
| A7036 |
Pos airway press chinstrap |
255 |
253 |
$5K |
| E0156 |
Walker seat attachment |
275 |
275 |
$5K |
| A4670 |
Automatic bp monitor, dial |
83 |
83 |
$4K |
| A7005 |
Nondisposable nebulizer set |
196 |
192 |
$4K |
| A7039 |
Filter, non disposable w pap |
85 |
85 |
$3K |
| E0105 |
Cane adjust/fixed quad/3 pro |
65 |
65 |
$2K |
| E0163 |
Commode chair with fixed arm |
26 |
26 |
$2K |
| E0165 |
Commode chair with detacharm |
12 |
12 |
$2K |
| E0155 |
Walker wheel attachment,pair |
14 |
14 |
$301.14 |
| E0159 |
Brake for wheeled walker |
12 |
12 |
$146.16 |
| A7015 |
Aerosol mask used w nebulize |
125 |
123 |
$113.51 |