| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,598 |
2,140 |
$1.22M |
| E1390 |
Oxygen concentrator |
20,623 |
17,477 |
$796K |
| E0601 |
Cont airway pressure device |
9,050 |
8,147 |
$330K |
| A7031 |
Replacement facemask interfa |
8,377 |
7,347 |
$195K |
| A7030 |
Cpap full face mask |
3,650 |
3,048 |
$131K |
| E0470 |
Rad w/o backup non-inv intfc |
1,629 |
1,426 |
$126K |
| E0562 |
Humidifier heated used w pap |
3,886 |
3,321 |
$124K |
| E0431 |
Portable gaseous 02 |
11,657 |
9,973 |
$105K |
| A7034 |
Nasal application device |
3,000 |
2,632 |
$104K |
| A7032 |
Replacement nasal cushion |
3,782 |
3,380 |
$102K |
| A4604 |
Tubing with heating element |
4,203 |
3,640 |
$99K |
| K0738 |
Portable gas oxygen system |
2,290 |
1,945 |
$49K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,564 |
1,891 |
$48K |
| A7035 |
Pos airway press headgear |
4,216 |
3,708 |
$47K |
| A7038 |
Pos airway pressure filter |
14,127 |
12,565 |
$40K |
| E1392 |
Portable oxygen concentrator |
2,313 |
1,912 |
$38K |
| K0001 |
Standard wheelchair |
2,941 |
2,498 |
$30K |
| A7046 |
Repl water chamber, pap dev |
3,445 |
3,015 |
$27K |
| A7033 |
Replacement nasal pillows |
1,717 |
1,542 |
$27K |
| A7037 |
Pos airway pressure tubing |
3,540 |
3,073 |
$26K |
| E0570 |
Nebulizer with compression |
1,481 |
1,236 |
$20K |
| E0143 |
Walker folding wheeled w/o s |
540 |
472 |
$14K |
| K0195 |
Elevating whlchair leg rests |
957 |
848 |
$8K |
| E0630 |
Patient lift hydraulic |
266 |
199 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,617 |
1,412 |
$6K |
| E0163 |
Commode chair with fixed arm |
194 |
167 |
$6K |
| K0006 |
Heavy duty wheelchair |
119 |
106 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
848 |
481 |
$3K |
| K0003 |
Lightweight wheelchair |
14 |
12 |
$214.43 |
| E0443 |
Portable 02 contents, gas |
24 |
24 |
$168.35 |
| E0156 |
Walker seat attachment |
16 |
12 |
$74.29 |