| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,773 |
10,838 |
$740K |
| E0601 |
Cont airway pressure device |
5,270 |
4,085 |
$173K |
| E0431 |
Portable gaseous 02 |
10,122 |
8,104 |
$125K |
| E0570 |
Nebulizer with compression |
3,692 |
2,806 |
$123K |
| A7030 |
Cpap full face mask |
2,132 |
1,567 |
$112K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,432 |
2,163 |
$104K |
| A7031 |
Replacement facemask interfa |
2,215 |
1,665 |
$53K |
| K0001 |
Standard wheelchair |
3,894 |
2,636 |
$45K |
| A4604 |
Tubing with heating element |
2,355 |
1,784 |
$43K |
| A7034 |
Nasal application device |
999 |
732 |
$31K |
| K0738 |
Portable gas oxygen system |
1,224 |
979 |
$28K |
| A7035 |
Pos airway press headgear |
2,208 |
1,684 |
$27K |
| E0562 |
Humidifier heated used w pap |
216 |
182 |
$27K |
| B4035 |
Enteral feed supp pump per d |
83 |
76 |
$20K |
| A7038 |
Pos airway pressure filter |
4,290 |
3,247 |
$19K |
| K0195 |
Elevating whlchair leg rests |
3,871 |
2,431 |
$14K |
| K0002 |
Stnd hemi (low seat) whlchr |
771 |
393 |
$10K |
| A7003 |
Nebulizer administration set |
2,086 |
1,814 |
$10K |
| A7032 |
Replacement nasal cushion |
358 |
296 |
$7K |
| A7037 |
Pos airway pressure tubing |
641 |
440 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,110 |
826 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
218 |
151 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
2,106 |
1,861 |
$3K |
| E1392 |
Portable oxygen concentrator |
233 |
192 |
$2K |
| E0630 |
Patient lift hydraulic |
107 |
77 |
$2K |
| A7005 |
Nondisposable nebulizer set |
40 |
39 |
$798.06 |
| K0003 |
Lightweight wheelchair |
17 |
12 |
$389.92 |
| E0971 |
Wheelchair anti-tipping devi |
29 |
12 |
$338.48 |