| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,178 |
10,677 |
$1.01M |
| E0601 |
Cont airway pressure device |
7,446 |
7,184 |
$395K |
| E0445 |
Oximeter non-invasive |
1,865 |
1,686 |
$165K |
| E0431 |
Portable gaseous 02 |
7,766 |
7,242 |
$107K |
| E0562 |
Humidifier heated used w pap |
6,084 |
5,778 |
$106K |
| E0470 |
Rad w/o backup non-inv intfc |
544 |
521 |
$85K |
| K0001 |
Standard wheelchair |
3,151 |
3,048 |
$83K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,085 |
2,002 |
$83K |
| E0570 |
Nebulizer with compression |
1,718 |
1,641 |
$48K |
| A4604 |
Tubing with heating element |
1,721 |
1,626 |
$39K |
| A7030 |
Cpap full face mask |
394 |
387 |
$37K |
| A7035 |
Pos airway press headgear |
1,680 |
1,569 |
$34K |
| E0443 |
Portable 02 contents, gas |
447 |
410 |
$28K |
| A7034 |
Nasal application device |
410 |
398 |
$21K |
| E1392 |
Portable oxygen concentrator |
1,281 |
1,230 |
$18K |
| E0600 |
Suction pump portab hom modl |
664 |
609 |
$16K |
| E0143 |
Walker folding wheeled w/o s |
1,089 |
1,072 |
$14K |
| A7038 |
Pos airway pressure filter |
2,222 |
2,147 |
$12K |
| E0466 |
Home vent non-invasive inter |
25 |
25 |
$12K |
| A7046 |
Repl water chamber, pap dev |
1,033 |
1,000 |
$12K |
| A7032 |
Replacement nasal cushion |
620 |
613 |
$11K |
| A7005 |
Nondisposable nebulizer set |
572 |
539 |
$9K |
| E0630 |
Patient lift hydraulic |
148 |
147 |
$6K |
| A7000 |
Disposable canister for pump |
456 |
434 |
$5K |
| E0156 |
Walker seat attachment |
849 |
835 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
147 |
145 |
$4K |
| K0003 |
Lightweight wheelchair |
94 |
90 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
25 |
25 |
$2K |
| A7002 |
Tubing used w suction pump |
261 |
245 |
$2K |
| E0245 |
Tub stool or bench |
29 |
29 |
$1K |
| A7031 |
Replacement facemask interfa |
13 |
13 |
$708.35 |
| E0144 |
Enclosed walker w rear seat |
26 |
26 |
$274.50 |
| A7015 |
Aerosol mask used w nebulize |
98 |
98 |
$147.67 |