| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
514 |
512 |
$63K |
| K0003 |
Lightweight wheelchair |
300 |
285 |
$15K |
| K0001 |
Standard wheelchair |
302 |
292 |
$10K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
520 |
494 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
25 |
25 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
510 |
508 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
452 |
449 |
$677.24 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
72 |
52 |
$654.72 |