| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
8,350 |
7,864 |
$286K |
| E1390 |
Oxygen concentrator |
6,801 |
6,490 |
$212K |
| E0601 |
Cont airway pressure device |
4,093 |
3,738 |
$117K |
| A7030 |
Cpap full face mask |
1,011 |
933 |
$52K |
| E0562 |
Humidifier heated used w pap |
4,360 |
3,977 |
$47K |
| K0738 |
Portable gas oxygen system |
2,748 |
2,602 |
$42K |
| A4604 |
Tubing with heating element |
1,380 |
1,270 |
$28K |
| A7034 |
Nasal application device |
603 |
560 |
$19K |
| A7035 |
Pos airway press headgear |
1,514 |
1,389 |
$17K |
| E0431 |
Portable gaseous 02 |
1,240 |
1,201 |
$12K |
| A7031 |
Replacement facemask interfa |
535 |
511 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
402 |
366 |
$10K |
| A7038 |
Pos airway pressure filter |
2,303 |
2,153 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
319 |
280 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
14 |
12 |
$4K |
| A7032 |
Replacement nasal cushion |
164 |
149 |
$3K |
| E0163 |
Commode chair with fixed arm |
103 |
83 |
$3K |
| K0195 |
Elevating whlchair leg rests |
376 |
349 |
$3K |
| A7046 |
Repl water chamber, pap dev |
443 |
400 |
$3K |
| K0001 |
Standard wheelchair |
394 |
364 |
$2K |
| A7037 |
Pos airway pressure tubing |
189 |
177 |
$2K |
| E1392 |
Portable oxygen concentrator |
252 |
248 |
$2K |
| A7005 |
Nondisposable nebulizer set |
239 |
210 |
$2K |
| A7033 |
Replacement nasal pillows |
31 |
27 |
$530.82 |
| E0971 |
Wheelchair anti-tipping devi |
185 |
170 |
$503.30 |
| A7015 |
Aerosol mask used w nebulize |
252 |
235 |
$328.09 |
| A7003 |
Nebulizer administration set |
165 |
159 |
$299.07 |