| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,515 |
8,395 |
$736K |
| K0001 |
Standard wheelchair |
3,665 |
3,635 |
$214K |
| E0601 |
Cont airway pressure device |
2,899 |
2,872 |
$99K |
| K0738 |
Portable gas oxygen system |
2,509 |
2,485 |
$76K |
| A7034 |
Nasal application device |
1,433 |
1,418 |
$64K |
| E0562 |
Humidifier heated used w pap |
1,057 |
1,045 |
$60K |
| E0431 |
Portable gaseous 02 |
2,453 |
2,435 |
$45K |
| A4604 |
Tubing with heating element |
1,135 |
1,127 |
$37K |
| E0470 |
Rad w/o backup non-inv intfc |
270 |
268 |
$32K |
| E1392 |
Portable oxygen concentrator |
848 |
848 |
$31K |
| E0466 |
Home vent non-invasive inter |
28 |
26 |
$26K |
| A7035 |
Pos airway press headgear |
1,465 |
1,452 |
$25K |
| E0630 |
Patient lift hydraulic |
343 |
339 |
$17K |
| E0570 |
Nebulizer with compression |
623 |
622 |
$17K |
| A7038 |
Pos airway pressure filter |
1,998 |
1,976 |
$12K |
| A7030 |
Cpap full face mask |
96 |
96 |
$9K |
| A7032 |
Replacement nasal cushion |
195 |
192 |
$8K |
| A7046 |
Repl water chamber, pap dev |
593 |
590 |
$6K |
| A7037 |
Pos airway pressure tubing |
360 |
354 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
77 |
77 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
649 |
644 |
$4K |
| E0163 |
Commode chair with fixed arm |
30 |
29 |
$2K |
| E0600 |
Suction pump portab hom modl |
49 |
48 |
$2K |
| A7036 |
Pos airway press chinstrap |
129 |
129 |
$1K |
| E1038 |
Transport chair pt wt<=300lb |
178 |
177 |
$1K |
| A7033 |
Replacement nasal pillows |
14 |
12 |
$418.62 |