| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
6,689 |
6,430 |
$506K |
| A7030 |
Cpap full face mask |
3,441 |
3,299 |
$451K |
| E1390 |
Oxygen concentrator |
3,150 |
3,079 |
$359K |
| A7031 |
Replacement facemask interfa |
3,007 |
2,875 |
$323K |
| E0603 |
Electric breast pump |
1,278 |
1,249 |
$305K |
| E0562 |
Humidifier heated used w pap |
7,687 |
7,386 |
$175K |
| A7034 |
Nasal application device |
1,848 |
1,787 |
$153K |
| E0570 |
Nebulizer with compression |
1,965 |
1,874 |
$132K |
| E0470 |
Rad w/o backup non-inv intfc |
707 |
669 |
$99K |
| A7037 |
Pos airway pressure tubing |
3,489 |
3,339 |
$94K |
| A4604 |
Tubing with heating element |
1,734 |
1,679 |
$83K |
| L4361 |
Pneuma/vac walk boot pre ots |
344 |
339 |
$82K |
| A7032 |
Replacement nasal cushion |
632 |
603 |
$79K |
| A7035 |
Pos airway press headgear |
3,214 |
3,090 |
$79K |
| A7038 |
Pos airway pressure filter |
4,614 |
4,432 |
$78K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,032 |
1,015 |
$63K |
| A7033 |
Replacement nasal pillows |
666 |
643 |
$61K |
| K0738 |
Portable gas oxygen system |
1,671 |
1,631 |
$46K |
| E0143 |
Walker folding wheeled w/o s |
611 |
575 |
$41K |
| A7046 |
Repl water chamber, pap dev |
2,282 |
2,193 |
$29K |
| L3908 |
Who cock-up nonmolde pre ots |
335 |
286 |
$18K |
| A7005 |
Nondisposable nebulizer set |
577 |
542 |
$13K |
| E1392 |
Portable oxygen concentrator |
461 |
450 |
$10K |
| K0001 |
Standard wheelchair |
324 |
315 |
$10K |
| E0149 |
Heavy duty wheeled walker |
219 |
213 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
749 |
479 |
$4K |
| A4627 |
Spacer bag/reservoir |
180 |
172 |
$4K |
| K0002 |
Stnd hemi (low seat) whlchr |
104 |
101 |
$3K |
| E0114 |
Crutch underarm pair no wood |
76 |
75 |
$3K |
| L3809 |
Whfo w/o joints pre ots |
41 |
39 |
$3K |
| E0156 |
Walker seat attachment |
264 |
246 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
31 |
31 |
$2K |
| E0240 |
Bath/shower chair |
45 |
41 |
$2K |
| E0630 |
Patient lift hydraulic |
26 |
26 |
$1K |
| A6530 |
Compression stocking bk18-30 |
13 |
13 |
$981.96 |
| E0163 |
Commode chair with fixed arm |
16 |
14 |
$824.14 |
| K0195 |
Elevating whlchair leg rests |
90 |
87 |
$587.91 |
| A7036 |
Pos airway press chinstrap |
24 |
24 |
$248.02 |
| A7015 |
Aerosol mask used w nebulize |
122 |
115 |
$165.89 |