| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,934 |
5,852 |
$335K |
| E0601 |
Cont airway pressure device |
5,493 |
4,173 |
$196K |
| A7030 |
Cpap full face mask |
2,434 |
2,013 |
$131K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,944 |
2,909 |
$68K |
| A7031 |
Replacement facemask interfa |
3,075 |
2,209 |
$61K |
| K0001 |
Standard wheelchair |
7,073 |
5,147 |
$56K |
| E0562 |
Humidifier heated used w pap |
375 |
323 |
$51K |
| A7034 |
Nasal application device |
1,380 |
1,135 |
$47K |
| E0143 |
Walker folding wheeled w/o s |
1,258 |
1,057 |
$40K |
| A7035 |
Pos airway press headgear |
2,639 |
2,149 |
$32K |
| E0570 |
Nebulizer with compression |
3,126 |
2,353 |
$31K |
| A4554 |
Disposable underpads |
645 |
521 |
$30K |
| E0431 |
Portable gaseous 02 |
4,038 |
2,990 |
$28K |
| E0470 |
Rad w/o backup non-inv intfc |
453 |
347 |
$27K |
| A4604 |
Tubing with heating element |
2,223 |
1,895 |
$24K |
| A7037 |
Pos airway pressure tubing |
1,403 |
1,139 |
$23K |
| K0738 |
Portable gas oxygen system |
1,734 |
1,281 |
$19K |
| E0630 |
Patient lift hydraulic |
862 |
646 |
$16K |
| A7038 |
Pos airway pressure filter |
5,531 |
4,172 |
$15K |
| K0195 |
Elevating whlchair leg rests |
2,910 |
2,157 |
$12K |
| E0163 |
Commode chair with fixed arm |
384 |
330 |
$11K |
| A7033 |
Replacement nasal pillows |
656 |
486 |
$8K |
| A7032 |
Replacement nasal cushion |
432 |
317 |
$8K |
| T4526 |
Adult size pull-on med |
69 |
53 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,555 |
1,286 |
$6K |
| E1392 |
Portable oxygen concentrator |
156 |
119 |
$2K |
| K0003 |
Lightweight wheelchair |
233 |
159 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
49 |
37 |
$1K |
| K0006 |
Heavy duty wheelchair |
135 |
110 |
$1K |
| E1038 |
Transport chair pt wt<=300lb |
340 |
241 |
$1K |
| E2601 |
Gen w/c cushion wdth < 22 in |
35 |
31 |
$453.43 |
| E0156 |
Walker seat attachment |
47 |
42 |
$306.51 |
| E0600 |
Suction pump portab hom modl |
22 |
12 |
$289.72 |
| A7005 |
Nondisposable nebulizer set |
19 |
12 |
$191.00 |