| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
34,818 |
32,661 |
$2.30M |
| K0738 |
Portable gas oxygen system |
15,356 |
14,423 |
$457K |
| E0466 |
Home vent non-invasive inter |
642 |
556 |
$418K |
| A7030 |
Cpap full face mask |
3,411 |
3,148 |
$232K |
| A7034 |
Nasal application device |
3,201 |
2,965 |
$143K |
| E0445 |
Oximeter non-invasive |
718 |
601 |
$143K |
| A4604 |
Tubing with heating element |
4,781 |
4,395 |
$123K |
| A7031 |
Replacement facemask interfa |
4,063 |
3,711 |
$123K |
| E1392 |
Portable oxygen concentrator |
4,752 |
4,351 |
$101K |
| E0601 |
Cont airway pressure device |
2,553 |
2,279 |
$99K |
| E0562 |
Humidifier heated used w pap |
469 |
415 |
$65K |
| E0431 |
Portable gaseous 02 |
4,801 |
4,365 |
$65K |
| A7520 |
Trach/laryn tube non-cuffed |
625 |
518 |
$58K |
| A9999 |
Dme supply or accessory, nos |
2,578 |
1,679 |
$55K |
| A7032 |
Replacement nasal cushion |
2,523 |
2,295 |
$54K |
| E0441 |
Stationary o2 contents, gas |
967 |
955 |
$50K |
| A7035 |
Pos airway press headgear |
3,242 |
2,979 |
$45K |
| A7046 |
Repl water chamber, pap dev |
3,444 |
3,170 |
$32K |
| A7038 |
Pos airway pressure filter |
8,285 |
7,436 |
$31K |
| E0260 |
Hosp bed semi-electr w/ matt |
910 |
830 |
$21K |
| A7033 |
Replacement nasal pillows |
1,321 |
1,188 |
$20K |
| E0442 |
Stationary o2 contents, liq |
433 |
345 |
$17K |
| K0001 |
Standard wheelchair |
1,300 |
1,189 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,060 |
970 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
126 |
106 |
$14K |
| E0570 |
Nebulizer with compression |
1,443 |
1,305 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
815 |
731 |
$14K |
| K0002 |
Stnd hemi (low seat) whlchr |
419 |
389 |
$9K |
| A4606 |
Oxygen probe used w oximeter |
168 |
113 |
$9K |
| E0434 |
Portable liquid 02 |
292 |
232 |
$8K |
| E0424 |
Stationary compressed gas 02 |
111 |
99 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
28 |
24 |
$7K |
| E0971 |
Wheelchair anti-tipping devi |
1,451 |
696 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
168 |
141 |
$4K |
| A7521 |
Trach/laryn tube cuffed |
27 |
24 |
$3K |
| K0195 |
Elevating whlchair leg rests |
508 |
431 |
$2K |
| E0156 |
Walker seat attachment |
313 |
279 |
$2K |
| A7020 |
Interface, cough stim device |
194 |
159 |
$2K |
| E0600 |
Suction pump portab hom modl |
24 |
24 |
$1K |
| E0951 |
Loop heel |
1,084 |
509 |
$1K |
| A7005 |
Nondisposable nebulizer set |
73 |
71 |
$968.11 |
| K0003 |
Lightweight wheelchair |
30 |
25 |
$612.00 |
| S8189 |
Trach supply noc |
127 |
94 |
$456.87 |
| A7039 |
Filter, non disposable w pap |
85 |
80 |
$340.34 |
| A7036 |
Pos airway press chinstrap |
28 |
27 |
$219.51 |
| A7002 |
Tubing used w suction pump |
43 |
36 |
$208.99 |
| A4628 |
Oropharyngeal suction cath |
12 |
12 |
$68.37 |