| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,937 |
15,828 |
$1.88M |
| E0601 |
Cont airway pressure device |
10,040 |
9,963 |
$673K |
| E0470 |
Rad w/o backup non-inv intfc |
3,108 |
3,084 |
$533K |
| E0466 |
Home vent non-invasive inter |
446 |
446 |
$366K |
| K0001 |
Standard wheelchair |
7,987 |
7,968 |
$302K |
| E0562 |
Humidifier heated used w pap |
12,233 |
12,125 |
$292K |
| E0431 |
Portable gaseous 02 |
12,390 |
12,274 |
$271K |
| E0143 |
Walker folding wheeled w/o s |
3,478 |
3,467 |
$220K |
| E0443 |
Portable 02 contents, gas |
2,654 |
2,294 |
$147K |
| A7030 |
Cpap full face mask |
1,437 |
1,430 |
$111K |
| E0570 |
Nebulizer with compression |
1,847 |
1,843 |
$62K |
| A7037 |
Pos airway pressure tubing |
2,507 |
2,499 |
$56K |
| E0163 |
Commode chair with fixed arm |
750 |
750 |
$54K |
| E0295 |
Hosp bed semi-elect w/o matt |
597 |
596 |
$47K |
| A7035 |
Pos airway press headgear |
1,842 |
1,835 |
$47K |
| A7038 |
Pos airway pressure filter |
3,549 |
3,178 |
$41K |
| A7034 |
Nasal application device |
530 |
529 |
$36K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,256 |
1,255 |
$35K |
| E0630 |
Patient lift hydraulic |
534 |
534 |
$27K |
| K0007 |
Extra heavy duty wheelchair |
184 |
184 |
$22K |
| K0195 |
Elevating whlchair leg rests |
1,272 |
1,271 |
$20K |
| A7039 |
Filter, non disposable w pap |
2,022 |
2,003 |
$19K |
| E1392 |
Portable oxygen concentrator |
559 |
559 |
$19K |
| E0156 |
Walker seat attachment |
1,176 |
1,170 |
$18K |
| E0149 |
Heavy duty wheeled walker |
417 |
417 |
$17K |
| K0006 |
Heavy duty wheelchair |
170 |
170 |
$16K |
| K0003 |
Lightweight wheelchair |
208 |
208 |
$10K |
| A7031 |
Replacement facemask interfa |
170 |
169 |
$9K |
| E0245 |
Tub stool or bench |
129 |
129 |
$7K |
| E0277 |
Powered pres-redu air mattrs |
18 |
16 |
$6K |
| E0271 |
Mattress innerspring |
366 |
365 |
$5K |
| E0310 |
Rails bed side full length |
221 |
220 |
$3K |
| E0603 |
Electric breast pump |
14 |
14 |
$1K |
| E0240 |
Bath/shower chair |
12 |
12 |
$1K |
| E0247 |
Trans bench w/wo comm open |
13 |
13 |
$1K |
| E0159 |
Brake for wheeled walker |
94 |
94 |
$628.82 |
| E0114 |
Crutch underarm pair no wood |
13 |
13 |
$490.75 |
| E0305 |
Rails bed side half length |
27 |
27 |
$314.82 |
| A7046 |
Repl water chamber, pap dev |
14 |
14 |
$124.66 |