| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
61,162 |
54,972 |
$2.50M |
| E0466 |
Home vent non-invasive inter |
3,891 |
3,508 |
$1.63M |
| E0431 |
Portable gaseous 02 |
44,864 |
39,576 |
$684K |
| E0601 |
Cont airway pressure device |
15,033 |
13,859 |
$585K |
| E0470 |
Rad w/o backup non-inv intfc |
3,829 |
3,301 |
$312K |
| E0562 |
Humidifier heated used w pap |
4,847 |
4,146 |
$282K |
| A4604 |
Tubing with heating element |
8,342 |
7,396 |
$159K |
| A7034 |
Nasal application device |
5,967 |
5,321 |
$154K |
| A7030 |
Cpap full face mask |
3,860 |
3,349 |
$154K |
| E1392 |
Portable oxygen concentrator |
9,348 |
8,428 |
$122K |
| E0143 |
Walker folding wheeled w/o s |
4,245 |
3,819 |
$114K |
| A7035 |
Pos airway press headgear |
6,746 |
6,046 |
$97K |
| E0570 |
Nebulizer with compression |
7,464 |
6,537 |
$91K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,855 |
2,527 |
$85K |
| K0001 |
Standard wheelchair |
3,427 |
3,134 |
$71K |
| A7031 |
Replacement facemask interfa |
3,569 |
3,020 |
$67K |
| A7033 |
Replacement nasal pillows |
2,721 |
2,354 |
$51K |
| A7032 |
Replacement nasal cushion |
2,734 |
2,403 |
$49K |
| A7038 |
Pos airway pressure filter |
12,381 |
10,732 |
$26K |
| K0195 |
Elevating whlchair leg rests |
2,015 |
1,784 |
$20K |
| A7037 |
Pos airway pressure tubing |
759 |
692 |
$9K |
| A7005 |
Nondisposable nebulizer set |
981 |
882 |
$9K |
| E0245 |
Tub stool or bench |
300 |
263 |
$6K |
| A7046 |
Repl water chamber, pap dev |
2,372 |
2,075 |
$5K |
| K0002 |
Stnd hemi (low seat) whlchr |
236 |
222 |
$5K |
| E0149 |
Heavy duty wheeled walker |
176 |
151 |
$4K |
| E0630 |
Patient lift hydraulic |
85 |
65 |
$3K |
| E0247 |
Trans bench w/wo comm open |
55 |
39 |
$2K |
| A7039 |
Filter, non disposable w pap |
236 |
212 |
$1K |
| E0156 |
Walker seat attachment |
170 |
134 |
$876.95 |
| E0163 |
Commode chair with fixed arm |
15 |
14 |
$462.38 |
| E2601 |
Gen w/c cushion wdth < 22 in |
13 |
12 |
$383.01 |
| E0240 |
Bath/shower chair |
13 |
12 |
$318.50 |
| A7003 |
Nebulizer administration set |
171 |
164 |
$191.26 |
| K0738 |
Portable gas oxygen system |
13 |
12 |
$183.04 |
| A7036 |
Pos airway press chinstrap |
15 |
12 |
$43.57 |