| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,058 |
8,920 |
$684K |
| E0601 |
Cont airway pressure device |
9,753 |
9,677 |
$422K |
| A7034 |
Nasal application device |
2,659 |
2,637 |
$174K |
| E0562 |
Humidifier heated used w pap |
4,688 |
4,574 |
$163K |
| K0001 |
Standard wheelchair |
3,404 |
3,369 |
$119K |
| K0738 |
Portable gas oxygen system |
3,803 |
3,757 |
$114K |
| A7032 |
Replacement nasal cushion |
1,827 |
1,799 |
$81K |
| A7035 |
Pos airway press headgear |
3,315 |
3,281 |
$74K |
| A7037 |
Pos airway pressure tubing |
2,758 |
2,741 |
$60K |
| E0431 |
Portable gaseous 02 |
2,743 |
2,716 |
$53K |
| E0470 |
Rad w/o backup non-inv intfc |
344 |
341 |
$47K |
| A7038 |
Pos airway pressure filter |
4,957 |
4,898 |
$47K |
| A7030 |
Cpap full face mask |
879 |
874 |
$47K |
| E0570 |
Nebulizer with compression |
1,147 |
1,137 |
$40K |
| A4604 |
Tubing with heating element |
1,093 |
1,091 |
$39K |
| A7046 |
Repl water chamber, pap dev |
1,852 |
1,844 |
$20K |
| A7031 |
Replacement facemask interfa |
391 |
390 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
308 |
304 |
$18K |
| A7005 |
Nondisposable nebulizer set |
587 |
556 |
$13K |
| A7033 |
Replacement nasal pillows |
274 |
269 |
$7K |
| E0295 |
Hosp bed semi-elect w/o matt |
110 |
110 |
$6K |
| A7036 |
Pos airway press chinstrap |
244 |
244 |
$3K |
| A7039 |
Filter, non disposable w pap |
160 |
159 |
$1K |
| E0630 |
Patient lift hydraulic |
24 |
24 |
$885.27 |
| E0310 |
Rails bed side full length |
49 |
48 |
$768.48 |
| E0271 |
Mattress innerspring |
65 |
64 |
$746.79 |
| A7003 |
Nebulizer administration set |
396 |
374 |
$454.17 |
| A7013 |
Disposable compressor filter |
505 |
478 |
$296.47 |
| E1392 |
Portable oxygen concentrator |
28 |
27 |
$250.38 |
| E0156 |
Walker seat attachment |
13 |
13 |
$182.77 |
| E0272 |
Mattress foam rubber |
12 |
12 |
$160.26 |
| A7015 |
Aerosol mask used w nebulize |
39 |
39 |
$52.37 |