| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,787 |
1,756 |
$118K |
| K0001 |
Standard wheelchair |
3,730 |
3,707 |
$70K |
| E0562 |
Humidifier heated used w pap |
1,999 |
1,963 |
$44K |
| E0143 |
Walker folding wheeled w/o s |
1,239 |
1,238 |
$40K |
| E0295 |
Hosp bed semi-elect w/o matt |
982 |
981 |
$31K |
| E0570 |
Nebulizer with compression |
516 |
514 |
$20K |
| A5500 |
Diab shoe for density insert |
915 |
467 |
$19K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
52 |
52 |
$13K |
| T4541 |
Large disposable underpad |
250 |
246 |
$13K |
| E0305 |
Rails bed side half length |
1,092 |
1,087 |
$9K |
| E0156 |
Walker seat attachment |
1,107 |
1,106 |
$9K |
| A5512 |
Multi den insert direct form |
796 |
455 |
$8K |
| T4535 |
Disposable liner/shield/pad |
106 |
106 |
$7K |
| E0272 |
Mattress foam rubber |
749 |
748 |
$5K |
| A7038 |
Pos airway pressure filter |
245 |
244 |
$1K |
| K0003 |
Lightweight wheelchair |
49 |
49 |
$1K |
| E1038 |
Transport chair pt wt<=300lb |
198 |
194 |
$959.43 |
| A7005 |
Nondisposable nebulizer set |
32 |
32 |
$754.79 |
| E0260 |
Hosp bed semi-electr w/ matt |
61 |
61 |
$730.67 |
| E0245 |
Tub stool or bench |
12 |
12 |
$698.24 |
| E0100 |
Cane adjust/fixed with tip |
50 |
50 |
$594.81 |
| A7037 |
Pos airway pressure tubing |
24 |
24 |
$492.11 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$479.78 |
| A7033 |
Replacement nasal pillows |
14 |
14 |
$301.28 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$273.16 |
| A7015 |
Aerosol mask used w nebulize |
29 |
29 |
$54.72 |