| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,804 |
12,123 |
$511K |
| E0601 |
Cont airway pressure device |
7,402 |
6,518 |
$233K |
| E0603 |
Electric breast pump |
766 |
742 |
$149K |
| E0431 |
Portable gaseous 02 |
11,344 |
9,970 |
$102K |
| A7034 |
Nasal application device |
2,756 |
2,496 |
$101K |
| A7030 |
Cpap full face mask |
1,766 |
1,581 |
$74K |
| E0562 |
Humidifier heated used w pap |
7,198 |
6,408 |
$69K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,395 |
1,964 |
$58K |
| E0570 |
Nebulizer with compression |
2,544 |
2,100 |
$48K |
| K0001 |
Standard wheelchair |
4,901 |
3,966 |
$44K |
| E0143 |
Walker folding wheeled w/o s |
1,613 |
1,382 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
562 |
510 |
$42K |
| A7035 |
Pos airway press headgear |
3,405 |
3,079 |
$39K |
| A7037 |
Pos airway pressure tubing |
3,757 |
3,404 |
$30K |
| L1820 |
Ko elas w/ condyle pads & jo |
345 |
303 |
$25K |
| L3908 |
Who cock-up nonmolde pre ots |
687 |
516 |
$23K |
| A7031 |
Replacement facemask interfa |
726 |
628 |
$15K |
| A7033 |
Replacement nasal pillows |
953 |
858 |
$12K |
| A4604 |
Tubing with heating element |
470 |
422 |
$12K |
| L4361 |
Pneuma/vac walk boot pre ots |
64 |
59 |
$12K |
| K0195 |
Elevating whlchair leg rests |
1,747 |
1,456 |
$10K |
| B4150 |
Ef complet w/intact nutrient |
89 |
72 |
$10K |
| E0163 |
Commode chair with fixed arm |
242 |
197 |
$6K |
| E1392 |
Portable oxygen concentrator |
567 |
450 |
$4K |
| B4034 |
Enter feed supkit syr by day |
50 |
38 |
$3K |
| A7005 |
Nondisposable nebulizer set |
209 |
181 |
$2K |
| K0006 |
Heavy duty wheelchair |
14 |
12 |
$405.15 |
| A7046 |
Repl water chamber, pap dev |
50 |
42 |
$398.92 |
| E0156 |
Walker seat attachment |
45 |
37 |
$278.75 |
| E0630 |
Patient lift hydraulic |
19 |
14 |
$246.27 |
| A7000 |
Disposable canister for pump |
13 |
12 |
$76.92 |