| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,622 |
2,794 |
$1.32M |
| E1390 |
Oxygen concentrator |
22,965 |
18,294 |
$960K |
| E0601 |
Cont airway pressure device |
15,758 |
14,587 |
$750K |
| E0431 |
Portable gaseous 02 |
10,504 |
9,036 |
$247K |
| E0470 |
Rad w/o backup non-inv intfc |
2,163 |
1,909 |
$241K |
| E0445 |
Oximeter non-invasive |
1,571 |
1,539 |
$165K |
| K0001 |
Standard wheelchair |
4,949 |
4,363 |
$108K |
| E0562 |
Humidifier heated used w pap |
6,542 |
6,198 |
$96K |
| E0424 |
Stationary compressed gas 02 |
844 |
759 |
$93K |
| E0570 |
Nebulizer with compression |
2,998 |
2,559 |
$61K |
| E0143 |
Walker folding wheeled w/o s |
1,529 |
1,315 |
$51K |
| A7030 |
Cpap full face mask |
1,034 |
844 |
$44K |
| E1392 |
Portable oxygen concentrator |
4,022 |
3,157 |
$41K |
| K0738 |
Portable gas oxygen system |
4,029 |
3,056 |
$38K |
| A7034 |
Nasal application device |
1,368 |
1,129 |
$38K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,614 |
1,209 |
$32K |
| A7031 |
Replacement facemask interfa |
693 |
578 |
$16K |
| A4604 |
Tubing with heating element |
913 |
756 |
$16K |
| A7035 |
Pos airway press headgear |
1,935 |
1,619 |
$16K |
| A7038 |
Pos airway pressure filter |
2,567 |
2,134 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,488 |
1,256 |
$14K |
| A7032 |
Replacement nasal cushion |
317 |
268 |
$11K |
| A7005 |
Nondisposable nebulizer set |
910 |
829 |
$8K |
| E0600 |
Suction pump portab hom modl |
315 |
294 |
$8K |
| K0003 |
Lightweight wheelchair |
279 |
261 |
$8K |
| E0163 |
Commode chair with fixed arm |
130 |
109 |
$5K |
| E1399 |
Durable medical equipment mi |
930 |
241 |
$5K |
| E0156 |
Walker seat attachment |
609 |
539 |
$4K |
| A7046 |
Repl water chamber, pap dev |
780 |
662 |
$4K |
| A7013 |
Disposable compressor filter |
982 |
909 |
$3K |
| B9002 |
Enter nutr inf pump any type |
52 |
36 |
$1K |
| A7033 |
Replacement nasal pillows |
82 |
71 |
$1K |
| A7003 |
Nebulizer administration set |
877 |
820 |
$1K |
| A7039 |
Filter, non disposable w pap |
106 |
90 |
$304.59 |
| A7036 |
Pos airway press chinstrap |
32 |
25 |
$95.65 |