| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,668 |
14,953 |
$1.13M |
| A7031 |
Replacement facemask interfa |
7,790 |
7,478 |
$373K |
| A7030 |
Cpap full face mask |
4,229 |
4,079 |
$367K |
| E0601 |
Cont airway pressure device |
4,249 |
4,145 |
$235K |
| E0466 |
Home vent non-invasive inter |
616 |
546 |
$211K |
| A7032 |
Replacement nasal cushion |
2,986 |
2,907 |
$166K |
| A4604 |
Tubing with heating element |
4,379 |
4,178 |
$140K |
| A7034 |
Nasal application device |
2,182 |
2,091 |
$118K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,135 |
2,969 |
$113K |
| E0470 |
Rad w/o backup non-inv intfc |
1,054 |
1,007 |
$101K |
| E0603 |
Electric breast pump |
510 |
383 |
$96K |
| E0431 |
Portable gaseous 02 |
6,861 |
6,549 |
$93K |
| E0562 |
Humidifier heated used w pap |
701 |
682 |
$81K |
| A7038 |
Pos airway pressure filter |
11,339 |
10,874 |
$69K |
| K0001 |
Standard wheelchair |
3,106 |
2,925 |
$57K |
| A7035 |
Pos airway press headgear |
3,357 |
3,241 |
$55K |
| K0738 |
Portable gas oxygen system |
3,382 |
3,270 |
$52K |
| E0570 |
Nebulizer with compression |
3,309 |
3,148 |
$47K |
| K0003 |
Lightweight wheelchair |
1,507 |
1,423 |
$36K |
| E1392 |
Portable oxygen concentrator |
2,225 |
2,128 |
$32K |
| A7037 |
Pos airway pressure tubing |
1,801 |
1,755 |
$31K |
| E0143 |
Walker folding wheeled w/o s |
613 |
569 |
$31K |
| A7033 |
Replacement nasal pillows |
809 |
771 |
$29K |
| A7046 |
Repl water chamber, pap dev |
2,770 |
2,676 |
$25K |
| A7039 |
Filter, non disposable w pap |
2,168 |
2,096 |
$15K |
| E0600 |
Suction pump portab hom modl |
423 |
372 |
$11K |
| K0195 |
Elevating whlchair leg rests |
2,350 |
2,179 |
$11K |
| K0006 |
Heavy duty wheelchair |
143 |
137 |
$7K |
| E0630 |
Patient lift hydraulic |
290 |
275 |
$6K |
| E0163 |
Commode chair with fixed arm |
97 |
89 |
$4K |
| E0565 |
Compressor air power source |
25 |
24 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
69 |
67 |
$2K |
| A4606 |
Oxygen probe used w oximeter |
19 |
12 |
$1K |
| E0149 |
Heavy duty wheeled walker |
43 |
36 |
$994.98 |
| A7000 |
Disposable canister for pump |
76 |
63 |
$811.90 |
| A7002 |
Tubing used w suction pump |
91 |
78 |
$394.45 |
| A7036 |
Pos airway press chinstrap |
13 |
13 |
$131.00 |