| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,726 |
7,577 |
$354K |
| E0570 |
Nebulizer with compression |
10,621 |
8,957 |
$124K |
| E0601 |
Cont airway pressure device |
5,331 |
4,602 |
$123K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,323 |
2,074 |
$68K |
| A7030 |
Cpap full face mask |
1,357 |
1,167 |
$51K |
| A7034 |
Nasal application device |
1,926 |
1,646 |
$44K |
| E0562 |
Humidifier heated used w pap |
1,607 |
1,357 |
$36K |
| A7038 |
Pos airway pressure filter |
4,073 |
3,353 |
$34K |
| A7031 |
Replacement facemask interfa |
1,328 |
1,113 |
$30K |
| E0431 |
Portable gaseous 02 |
3,436 |
3,010 |
$25K |
| E0470 |
Rad w/o backup non-inv intfc |
505 |
453 |
$24K |
| E1392 |
Portable oxygen concentrator |
2,425 |
2,151 |
$22K |
| K0001 |
Standard wheelchair |
2,407 |
2,110 |
$22K |
| A7032 |
Replacement nasal cushion |
865 |
723 |
$20K |
| A7035 |
Pos airway press headgear |
2,256 |
1,923 |
$18K |
| A4604 |
Tubing with heating element |
2,420 |
2,095 |
$14K |
| A7037 |
Pos airway pressure tubing |
620 |
538 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,265 |
1,080 |
$6K |
| A7033 |
Replacement nasal pillows |
275 |
235 |
$6K |
| A4253 |
Blood glucose/reagent strips |
242 |
200 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
156 |
141 |
$4K |
| Q0513 |
Disp fee inhal drugs/30 days |
174 |
170 |
$4K |
| A7003 |
Nebulizer administration set |
2,496 |
2,083 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
2,318 |
1,960 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
116 |
113 |
$1K |
| E0630 |
Patient lift hydraulic |
18 |
12 |
$455.69 |
| A4259 |
Lancets per box |
105 |
84 |
$251.19 |
| E0156 |
Walker seat attachment |
61 |
53 |
$201.19 |