| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,579 |
14,736 |
$617K |
| E0466 |
Home vent non-invasive inter |
1,630 |
1,326 |
$483K |
| E0601 |
Cont airway pressure device |
10,996 |
8,094 |
$318K |
| A7030 |
Cpap full face mask |
6,416 |
5,743 |
$316K |
| A4604 |
Tubing with heating element |
7,879 |
7,153 |
$182K |
| A7031 |
Replacement facemask interfa |
6,507 |
5,535 |
$133K |
| E0570 |
Nebulizer with compression |
4,593 |
4,125 |
$130K |
| E0562 |
Humidifier heated used w pap |
5,810 |
5,121 |
$122K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,514 |
3,703 |
$106K |
| A7034 |
Nasal application device |
2,346 |
2,161 |
$80K |
| A7035 |
Pos airway press headgear |
6,114 |
5,572 |
$73K |
| E0470 |
Rad w/o backup non-inv intfc |
1,187 |
896 |
$72K |
| E0431 |
Portable gaseous 02 |
8,969 |
7,610 |
$70K |
| K0001 |
Standard wheelchair |
5,663 |
4,627 |
$66K |
| E1392 |
Portable oxygen concentrator |
4,328 |
3,594 |
$66K |
| E0143 |
Walker folding wheeled w/o s |
1,951 |
1,723 |
$42K |
| K0003 |
Lightweight wheelchair |
1,644 |
1,434 |
$37K |
| A7046 |
Repl water chamber, pap dev |
3,609 |
3,380 |
$29K |
| A7032 |
Replacement nasal cushion |
1,178 |
1,008 |
$19K |
| A7005 |
Nondisposable nebulizer set |
1,800 |
1,667 |
$17K |
| E0630 |
Patient lift hydraulic |
971 |
816 |
$17K |
| A7038 |
Pos airway pressure filter |
10,275 |
8,098 |
$16K |
| K0195 |
Elevating whlchair leg rests |
1,742 |
1,441 |
$12K |
| A7033 |
Replacement nasal pillows |
843 |
734 |
$11K |
| K0738 |
Portable gas oxygen system |
578 |
448 |
$9K |
| E0163 |
Commode chair with fixed arm |
209 |
194 |
$7K |
| A7037 |
Pos airway pressure tubing |
712 |
678 |
$6K |
| E0156 |
Walker seat attachment |
737 |
639 |
$5K |
| K0006 |
Heavy duty wheelchair |
110 |
88 |
$3K |
| A7036 |
Pos airway press chinstrap |
378 |
352 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
56 |
49 |
$2K |
| A7039 |
Filter, non disposable w pap |
414 |
405 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
85 |
48 |
$1K |
| E0165 |
Commode chair with detacharm |
105 |
81 |
$1K |
| E2601 |
Gen w/c cushion wdth < 22 in |
83 |
68 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
15 |
13 |
$807.43 |
| E0245 |
Tub stool or bench |
27 |
24 |
$689.85 |
| E0600 |
Suction pump portab hom modl |
28 |
25 |
$524.12 |
| A7015 |
Aerosol mask used w nebulize |
214 |
198 |
$209.91 |
| A7013 |
Disposable compressor filter |
34 |
33 |
$12.91 |