| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,045 |
17,857 |
$1.64M |
| E0431 |
Portable gaseous 02 |
14,785 |
13,734 |
$227K |
| E0601 |
Cont airway pressure device |
4,817 |
4,261 |
$213K |
| A7030 |
Cpap full face mask |
2,257 |
2,159 |
$180K |
| A7031 |
Replacement facemask interfa |
2,970 |
2,784 |
$96K |
| E0570 |
Nebulizer with compression |
1,721 |
1,630 |
$95K |
| E0470 |
Rad w/o backup non-inv intfc |
510 |
432 |
$40K |
| A7037 |
Pos airway pressure tubing |
2,803 |
2,634 |
$33K |
| A7035 |
Pos airway press headgear |
1,850 |
1,750 |
$30K |
| A7034 |
Nasal application device |
530 |
505 |
$27K |
| E0562 |
Humidifier heated used w pap |
441 |
429 |
$26K |
| A7038 |
Pos airway pressure filter |
6,515 |
5,902 |
$25K |
| K0001 |
Standard wheelchair |
1,226 |
1,153 |
$22K |
| A7032 |
Replacement nasal cushion |
781 |
680 |
$21K |
| A7005 |
Nondisposable nebulizer set |
937 |
887 |
$10K |
| T4533 |
Youth size brief/diaper |
185 |
169 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
195 |
183 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
137 |
130 |
$6K |
| E1392 |
Portable oxygen concentrator |
299 |
280 |
$5K |
| A7039 |
Filter, non disposable w pap |
927 |
853 |
$4K |
| A4604 |
Tubing with heating element |
66 |
66 |
$3K |
| T4534 |
Youth size pull-on |
44 |
44 |
$2K |
| T4526 |
Adult size pull-on med |
48 |
48 |
$2K |
| A7033 |
Replacement nasal pillows |
85 |
76 |
$2K |
| A7046 |
Repl water chamber, pap dev |
150 |
146 |
$2K |
| T4530 |
Ped size brief/diaper lg |
75 |
66 |
$2K |
| K0195 |
Elevating whlchair leg rests |
124 |
122 |
$2K |
| T4524 |
Adult size brief/diaper xl |
31 |
26 |
$1K |
| A4670 |
Automatic bp monitor, dial |
19 |
19 |
$479.93 |
| E0156 |
Walker seat attachment |
15 |
13 |
$146.21 |
| A7015 |
Aerosol mask used w nebulize |
64 |
56 |
$78.96 |