| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,198 |
8,715 |
$363K |
| E0466 |
Home vent non-invasive inter |
1,210 |
872 |
$221K |
| E0601 |
Cont airway pressure device |
2,746 |
2,428 |
$129K |
| E1392 |
Portable oxygen concentrator |
2,592 |
2,376 |
$48K |
| E0562 |
Humidifier heated used w pap |
804 |
754 |
$43K |
| A7030 |
Cpap full face mask |
576 |
525 |
$40K |
| E0431 |
Portable gaseous 02 |
3,415 |
2,881 |
$39K |
| E0445 |
Oximeter non-invasive |
209 |
190 |
$33K |
| A7034 |
Nasal application device |
630 |
562 |
$25K |
| E0143 |
Walker folding wheeled w/o s |
593 |
559 |
$19K |
| K0738 |
Portable gas oxygen system |
1,098 |
869 |
$14K |
| E0163 |
Commode chair with fixed arm |
280 |
266 |
$13K |
| A7031 |
Replacement facemask interfa |
516 |
469 |
$13K |
| A7035 |
Pos airway press headgear |
1,039 |
917 |
$13K |
| E0570 |
Nebulizer with compression |
345 |
321 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,244 |
1,098 |
$10K |
| K0001 |
Standard wheelchair |
384 |
359 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
172 |
164 |
$6K |
| A4606 |
Oxygen probe used w oximeter |
95 |
69 |
$5K |
| A7038 |
Pos airway pressure filter |
2,881 |
1,792 |
$4K |
| A4604 |
Tubing with heating element |
143 |
124 |
$4K |
| A7046 |
Repl water chamber, pap dev |
415 |
370 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
61 |
52 |
$3K |
| A7032 |
Replacement nasal cushion |
107 |
101 |
$3K |
| E1140 |
Wheelchair standard detach a |
48 |
38 |
$2K |
| E0600 |
Suction pump portab hom modl |
33 |
28 |
$2K |
| A7033 |
Replacement nasal pillows |
44 |
39 |
$962.34 |
| E0990 |
Wheelchair elevating leg res |
123 |
112 |
$919.43 |
| A7039 |
Filter, non disposable w pap |
27 |
25 |
$104.09 |
| A7003 |
Nebulizer administration set |
79 |
67 |
$74.00 |
| A7013 |
Disposable compressor filter |
25 |
24 |
$14.74 |