| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
70,861 |
63,637 |
$2.92M |
| E0466 |
Home vent non-invasive inter |
3,515 |
3,086 |
$1.58M |
| E0601 |
Cont airway pressure device |
7,547 |
6,961 |
$215K |
| E1392 |
Portable oxygen concentrator |
14,902 |
12,858 |
$215K |
| E0431 |
Portable gaseous 02 |
23,520 |
21,011 |
$206K |
| E0260 |
Hosp bed semi-electr w/ matt |
6,626 |
5,725 |
$159K |
| E0570 |
Nebulizer with compression |
8,411 |
7,365 |
$144K |
| A7030 |
Cpap full face mask |
2,517 |
2,257 |
$97K |
| K0001 |
Standard wheelchair |
8,769 |
7,670 |
$90K |
| A4604 |
Tubing with heating element |
3,553 |
3,271 |
$80K |
| E0562 |
Humidifier heated used w pap |
8,210 |
7,511 |
$69K |
| A5512 |
Multi den insert direct form |
1,574 |
837 |
$57K |
| A7031 |
Replacement facemask interfa |
2,442 |
2,275 |
$54K |
| A5500 |
Diab shoe for density insert |
1,576 |
840 |
$48K |
| A7035 |
Pos airway press headgear |
3,149 |
2,882 |
$28K |
| E0143 |
Walker folding wheeled w/o s |
1,484 |
1,300 |
$28K |
| K0007 |
Extra heavy duty wheelchair |
667 |
533 |
$23K |
| E0470 |
Rad w/o backup non-inv intfc |
293 |
247 |
$17K |
| K0003 |
Lightweight wheelchair |
1,359 |
1,215 |
$15K |
| K0195 |
Elevating whlchair leg rests |
2,236 |
2,003 |
$13K |
| A7038 |
Pos airway pressure filter |
5,607 |
5,179 |
$12K |
| E0720 |
Tens two lead |
555 |
498 |
$11K |
| E0630 |
Patient lift hydraulic |
589 |
514 |
$11K |
| E0443 |
Portable 02 contents, gas |
1,400 |
1,342 |
$10K |
| A7039 |
Filter, non disposable w pap |
2,598 |
2,409 |
$9K |
| A7034 |
Nasal application device |
268 |
255 |
$9K |
| K0006 |
Heavy duty wheelchair |
347 |
281 |
$8K |
| E0163 |
Commode chair with fixed arm |
353 |
308 |
$6K |
| A7003 |
Nebulizer administration set |
3,449 |
3,184 |
$5K |
| E0156 |
Walker seat attachment |
550 |
472 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
13 |
13 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
91 |
55 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
1,810 |
838 |
$2K |
| A7032 |
Replacement nasal cushion |
98 |
95 |
$2K |
| E0149 |
Heavy duty wheeled walker |
27 |
25 |
$1K |
| E0910 |
Trapeze bar attached to bed |
195 |
162 |
$800.44 |
| A7037 |
Pos airway pressure tubing |
81 |
78 |
$607.17 |
| A7004 |
Disposable nebulizer sml vol |
3,085 |
2,840 |
$471.70 |
| A7000 |
Disposable canister for pump |
13 |
13 |
$338.81 |
| A7015 |
Aerosol mask used w nebulize |
174 |
162 |
$139.47 |
| E0181 |
Press pad alternating w/ pum |
13 |
12 |
$132.01 |