| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
159,971 |
149,841 |
$9.65M |
| E0431 |
Portable gaseous 02 |
102,864 |
96,071 |
$3.93M |
| E0445 |
Oximeter non-invasive |
7,054 |
5,439 |
$853K |
| E0443 |
Portable 02 contents, gas |
32,498 |
27,244 |
$669K |
| E0562 |
Humidifier heated used w pap |
18,230 |
16,852 |
$581K |
| A7030 |
Cpap full face mask |
7,849 |
7,397 |
$488K |
| E0601 |
Cont airway pressure device |
19,783 |
18,280 |
$472K |
| E0603 |
Electric breast pump |
3,598 |
3,395 |
$449K |
| E0471 |
Rad w/backup non inv intrfc |
1,670 |
1,483 |
$187K |
| E0470 |
Rad w/o backup non-inv intfc |
3,142 |
2,874 |
$158K |
| A7034 |
Nasal application device |
3,070 |
2,909 |
$136K |
| K0861 |
Pwc gp3 std mult pow opt s/b |
13 |
12 |
$133K |
| K0108 |
W/c component-accessory nos |
935 |
309 |
$93K |
| E0570 |
Nebulizer with compression |
2,272 |
1,990 |
$81K |
| E0424 |
Stationary compressed gas 02 |
2,211 |
1,998 |
$73K |
| A7035 |
Pos airway press headgear |
8,480 |
8,014 |
$71K |
| K0001 |
Standard wheelchair |
3,763 |
3,426 |
$62K |
| A7031 |
Replacement facemask interfa |
7,120 |
6,541 |
$54K |
| K0738 |
Portable gas oxygen system |
6,506 |
5,973 |
$51K |
| E0143 |
Walker folding wheeled w/o s |
1,502 |
1,385 |
$50K |
| A7037 |
Pos airway pressure tubing |
6,560 |
6,256 |
$50K |
| A4604 |
Tubing with heating element |
3,321 |
3,129 |
$40K |
| E1392 |
Portable oxygen concentrator |
2,757 |
2,363 |
$37K |
| E1028 |
W/c manual swingaway |
509 |
220 |
$32K |
| A7038 |
Pos airway pressure filter |
10,797 |
9,515 |
$28K |
| E2311 |
Electro connect btw 2 sys |
32 |
25 |
$28K |
| A7046 |
Repl water chamber, pap dev |
4,633 |
4,402 |
$22K |
| A6530 |
Compression stocking bk18-30 |
731 |
377 |
$21K |
| E2361 |
22nf sealed leadacid battery |
144 |
115 |
$19K |
| K0007 |
Extra heavy duty wheelchair |
410 |
339 |
$17K |
| E0260 |
Hosp bed semi-electr w/ matt |
422 |
390 |
$15K |
| A7032 |
Replacement nasal cushion |
1,762 |
1,610 |
$13K |
| K0003 |
Lightweight wheelchair |
491 |
464 |
$11K |
| E1007 |
Pwr seat combo w/shear |
14 |
12 |
$8K |
| E0955 |
Cushioned headrest |
146 |
129 |
$5K |
| K0739 |
Repair/svc dme non-oxygen eq |
275 |
214 |
$5K |
| E1012 |
Ctr mount pwr elev leg rest |
33 |
27 |
$3K |
| A7005 |
Nondisposable nebulizer set |
422 |
385 |
$2K |
| E2620 |
Wc planar back cush wd <22in |
54 |
48 |
$2K |
| E0973 |
W/ch access det adj armrest |
40 |
38 |
$2K |
| A7033 |
Replacement nasal pillows |
340 |
318 |
$2K |
| A6533 |
Gc stocking thighlngth 18-30 |
30 |
14 |
$1K |
| A4670 |
Automatic bp monitor, dial |
34 |
28 |
$1K |
| E2377 |
Expandable controller, initl |
14 |
12 |
$1K |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$749.36 |
| A7039 |
Filter, non disposable w pap |
261 |
252 |
$614.41 |
| E2313 |
Pwc harness, expand control |
14 |
12 |
$332.09 |