| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Pwc gp 2 std cap chair |
1,785 |
1,765 |
$648K |
| E0601 |
Cont airway pressure device |
4,948 |
4,866 |
$82K |
| E0466 |
Home vent non-invasive inter |
2,299 |
2,276 |
$76K |
| E1390 |
Oxygen concentrator |
9,718 |
9,605 |
$65K |
| E2361 |
22nf sealed leadacid battery |
257 |
227 |
$40K |
| E0562 |
Humidifier heated used w pap |
6,116 |
6,016 |
$33K |
| K0001 |
Standard wheelchair |
7,278 |
7,118 |
$27K |
| E0295 |
Hosp bed semi-elect w/o matt |
1,321 |
1,298 |
$23K |
| E0570 |
Nebulizer with compression |
3,386 |
3,348 |
$17K |
| A7030 |
Cpap full face mask |
2,435 |
2,408 |
$17K |
| E0630 |
Patient lift hydraulic |
1,365 |
1,336 |
$12K |
| A4604 |
Tubing with heating element |
2,325 |
2,294 |
$10K |
| A7034 |
Nasal application device |
816 |
807 |
$10K |
| A7031 |
Replacement facemask interfa |
2,287 |
2,248 |
$9K |
| E0431 |
Portable gaseous 02 |
6,041 |
5,962 |
$8K |
| A7035 |
Pos airway press headgear |
3,212 |
3,173 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
208 |
206 |
$7K |
| E0245 |
Tub stool or bench |
323 |
319 |
$6K |
| E0973 |
W/ch access det adj armrest |
198 |
172 |
$6K |
| A7032 |
Replacement nasal cushion |
813 |
802 |
$4K |
| A7038 |
Pos airway pressure filter |
4,935 |
4,783 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
731 |
718 |
$4K |
| A7037 |
Pos airway pressure tubing |
1,504 |
1,469 |
$3K |
| A7005 |
Nondisposable nebulizer set |
1,123 |
1,115 |
$2K |
| A7046 |
Repl water chamber, pap dev |
1,544 |
1,540 |
$2K |
| E0250 |
Hosp bed fixed ht w/ mattres |
3,268 |
3,209 |
$2K |
| A7039 |
Filter, non disposable w pap |
2,332 |
2,307 |
$1K |
| K0195 |
Elevating whlchair leg rests |
607 |
583 |
$1K |
| K0003 |
Lightweight wheelchair |
454 |
438 |
$1K |
| E0247 |
Trans bench w/wo comm open |
27 |
27 |
$1K |
| E0271 |
Mattress innerspring |
239 |
235 |
$874.47 |
| E0305 |
Rails bed side half length |
202 |
197 |
$571.64 |
| E0156 |
Walker seat attachment |
479 |
467 |
$444.09 |
| K0006 |
Heavy duty wheelchair |
36 |
36 |
$344.02 |
| E2601 |
Gen w/c cushion wdth < 22 in |
20 |
19 |
$206.65 |
| A7033 |
Replacement nasal pillows |
27 |
26 |
$134.15 |
| E0971 |
Wheelchair anti-tipping devi |
16 |
16 |
$121.19 |
| A7015 |
Aerosol mask used w nebulize |
201 |
198 |
$57.84 |
| E2365 |
U1 sealed leadacid battery |
13 |
12 |
$28.75 |
| E1355 |
Oxygen supplies stand/rack |
46 |
46 |
$24.84 |