| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,597 |
1,192 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
982 |
738 |
$17K |
| E0601 |
Cont airway pressure device |
630 |
502 |
$11K |
| K0001 |
Standard wheelchair |
1,140 |
877 |
$10K |
| E0570 |
Nebulizer with compression |
759 |
553 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
175 |
158 |
$5K |
| K0738 |
Portable gas oxygen system |
624 |
468 |
$4K |
| A7030 |
Cpap full face mask |
85 |
73 |
$4K |
| E1392 |
Portable oxygen concentrator |
348 |
265 |
$2K |
| A7031 |
Replacement facemask interfa |
140 |
110 |
$2K |
| A4604 |
Tubing with heating element |
103 |
90 |
$2K |
| E0431 |
Portable gaseous 02 |
199 |
162 |
$999.86 |
| A7035 |
Pos airway press headgear |
106 |
96 |
$969.99 |
| A7038 |
Pos airway pressure filter |
417 |
330 |
$632.36 |
| E0562 |
Humidifier heated used w pap |
13 |
12 |
$589.52 |
| A7005 |
Nondisposable nebulizer set |
46 |
41 |
$573.68 |
| E0630 |
Patient lift hydraulic |
15 |
12 |
$167.40 |
| E0156 |
Walker seat attachment |
32 |
25 |
$131.29 |
| A7046 |
Repl water chamber, pap dev |
17 |
15 |
$61.85 |
| A7013 |
Disposable compressor filter |
17 |
15 |
$6.61 |