| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,652 |
4,387 |
$188K |
| E0260 |
Hosp bed semi-electr w/ matt |
974 |
955 |
$42K |
| E0431 |
Portable gaseous 02 |
1,512 |
1,372 |
$24K |
| E0601 |
Cont airway pressure device |
1,357 |
1,206 |
$15K |
| A7030 |
Cpap full face mask |
550 |
527 |
$12K |
| E0570 |
Nebulizer with compression |
825 |
796 |
$11K |
| A7031 |
Replacement facemask interfa |
483 |
460 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,213 |
1,190 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,232 |
1,182 |
$6K |
| K0001 |
Standard wheelchair |
1,541 |
1,524 |
$5K |
| K0738 |
Portable gas oxygen system |
886 |
858 |
$4K |
| A7038 |
Pos airway pressure filter |
1,346 |
1,280 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
138 |
138 |
$3K |
| A7035 |
Pos airway press headgear |
581 |
549 |
$2K |
| E0443 |
Portable 02 contents, gas |
37 |
36 |
$2K |
| E0630 |
Patient lift hydraulic |
29 |
26 |
$2K |
| K0195 |
Elevating whlchair leg rests |
581 |
571 |
$1K |
| A7039 |
Filter, non disposable w pap |
506 |
480 |
$722.47 |
| A7034 |
Nasal application device |
53 |
52 |
$605.69 |
| E0163 |
Commode chair with fixed arm |
13 |
13 |
$527.20 |
| E0261 |
Hosp bed semi-electr w/o mat |
38 |
38 |
$189.76 |