| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,910 |
1,700 |
$57K |
| A7030 |
Cpap full face mask |
231 |
208 |
$12K |
| E0601 |
Cont airway pressure device |
389 |
345 |
$12K |
| B4035 |
Enteral feed supp pump per d |
125 |
102 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
483 |
410 |
$10K |
| E0431 |
Portable gaseous 02 |
1,301 |
1,156 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
410 |
367 |
$9K |
| A4604 |
Tubing with heating element |
323 |
305 |
$7K |
| E0163 |
Commode chair with fixed arm |
205 |
174 |
$6K |
| A7031 |
Replacement facemask interfa |
320 |
275 |
$6K |
| K0001 |
Standard wheelchair |
594 |
530 |
$5K |
| E0570 |
Nebulizer with compression |
627 |
564 |
$5K |
| E1392 |
Portable oxygen concentrator |
249 |
233 |
$3K |
| E0562 |
Humidifier heated used w pap |
89 |
72 |
$3K |
| K0195 |
Elevating whlchair leg rests |
298 |
249 |
$1K |
| A7035 |
Pos airway press headgear |
101 |
87 |
$1K |
| A7038 |
Pos airway pressure filter |
625 |
487 |
$1K |
| E0776 |
Iv pole |
100 |
91 |
$704.53 |
| B9002 |
Enter nutr inf pump any type |
26 |
24 |
$499.69 |
| A7046 |
Repl water chamber, pap dev |
28 |
26 |
$214.93 |
| B9998 |
Enteral supp not otherwise c |
56 |
25 |
$177.16 |
| K0003 |
Lightweight wheelchair |
15 |
12 |
$71.94 |