| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,788 |
5,728 |
$245K |
| E0601 |
Cont airway pressure device |
6,395 |
4,449 |
$143K |
| E0430 |
Oxygen system gas portable |
1,420 |
883 |
$48K |
| E0431 |
Portable gaseous 02 |
3,373 |
2,701 |
$25K |
| E0562 |
Humidifier heated used w pap |
891 |
715 |
$16K |
| E0143 |
Walker folding wheeled w/o s |
499 |
371 |
$14K |
| A7030 |
Cpap full face mask |
957 |
851 |
$14K |
| E1140 |
Wheelchair standard detach a |
448 |
332 |
$11K |
| K0003 |
Lightweight wheelchair |
1,207 |
1,055 |
$6K |
| A7032 |
Replacement nasal cushion |
241 |
227 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
377 |
315 |
$4K |
| A7034 |
Nasal application device |
716 |
642 |
$3K |
| A7031 |
Replacement facemask interfa |
1,165 |
1,034 |
$3K |
| A7035 |
Pos airway press headgear |
1,089 |
981 |
$2K |
| A7046 |
Repl water chamber, pap dev |
897 |
803 |
$1K |
| K0001 |
Standard wheelchair |
428 |
345 |
$1K |
| E0570 |
Nebulizer with compression |
475 |
397 |
$1K |
| E0163 |
Commode chair with fixed arm |
43 |
24 |
$1K |
| A7037 |
Pos airway pressure tubing |
1,680 |
1,504 |
$760.82 |
| A7038 |
Pos airway pressure filter |
2,603 |
2,313 |
$355.81 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$262.13 |
| A4604 |
Tubing with heating element |
30 |
26 |
$182.70 |
| A7039 |
Filter, non disposable w pap |
574 |
520 |
$104.01 |
| K0195 |
Elevating whlchair leg rests |
13 |
12 |
$14.06 |