| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,081 |
5,899 |
$676K |
| A7030 |
Cpap full face mask |
2,102 |
1,851 |
$293K |
| E0466 |
Home vent non-invasive inter |
442 |
374 |
$277K |
| E0601 |
Cont airway pressure device |
3,345 |
3,136 |
$248K |
| A7031 |
Replacement facemask interfa |
2,496 |
2,244 |
$135K |
| E0562 |
Humidifier heated used w pap |
456 |
428 |
$96K |
| A7034 |
Nasal application device |
1,056 |
946 |
$92K |
| E0143 |
Walker folding wheeled w/o s |
1,048 |
967 |
$82K |
| E0260 |
Hosp bed semi-electr w/ matt |
972 |
842 |
$76K |
| K0001 |
Standard wheelchair |
2,536 |
2,199 |
$74K |
| A7035 |
Pos airway press headgear |
2,366 |
2,157 |
$67K |
| E0570 |
Nebulizer with compression |
1,302 |
1,067 |
$63K |
| A7037 |
Pos airway pressure tubing |
1,422 |
1,328 |
$49K |
| A4604 |
Tubing with heating element |
1,423 |
1,262 |
$46K |
| K0738 |
Portable gas oxygen system |
1,329 |
1,163 |
$45K |
| E0431 |
Portable gaseous 02 |
2,594 |
2,210 |
$43K |
| E1392 |
Portable oxygen concentrator |
1,175 |
1,011 |
$39K |
| E0470 |
Rad w/o backup non-inv intfc |
189 |
176 |
$35K |
| E0163 |
Commode chair with fixed arm |
551 |
450 |
$34K |
| A7032 |
Replacement nasal cushion |
665 |
605 |
$33K |
| B4035 |
Enteral feed supp pump per d |
124 |
90 |
$25K |
| A7038 |
Pos airway pressure filter |
4,595 |
4,070 |
$25K |
| S8120 |
O2 contents gas cubic ft |
1,111 |
603 |
$24K |
| K0195 |
Elevating whlchair leg rests |
1,580 |
1,400 |
$23K |
| A7033 |
Replacement nasal pillows |
419 |
371 |
$13K |
| K0003 |
Lightweight wheelchair |
217 |
191 |
$12K |
| E0114 |
Crutch underarm pair no wood |
314 |
300 |
$11K |
| A4623 |
Tracheostomy inner cannula |
44 |
37 |
$7K |
| B9002 |
Enter nutr inf pump any type |
131 |
108 |
$7K |
| E0240 |
Bath/shower chair |
85 |
75 |
$4K |
| E0247 |
Trans bench w/wo comm open |
45 |
43 |
$4K |
| A7005 |
Nondisposable nebulizer set |
178 |
160 |
$3K |
| E0630 |
Patient lift hydraulic |
29 |
26 |
$2K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
29 |
25 |
$2K |
| E0600 |
Suction pump portab hom modl |
83 |
50 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
98 |
54 |
$1K |
| E0776 |
Iv pole |
117 |
104 |
$1K |
| E0156 |
Walker seat attachment |
74 |
66 |
$1K |
| L3660 |
So 8 ab rstr can/web pre ots |
12 |
12 |
$900.36 |
| E2601 |
Gen w/c cushion wdth < 22 in |
28 |
27 |
$850.34 |
| A7526 |
Tracheostomy tube collar |
14 |
13 |
$578.79 |
| A7046 |
Repl water chamber, pap dev |
297 |
228 |
$255.11 |
| A7000 |
Disposable canister for pump |
13 |
12 |
$200.42 |
| A7002 |
Tubing used w suction pump |
30 |
24 |
$152.37 |
| A4628 |
Oropharyngeal suction cath |
15 |
12 |
$127.40 |
| A7013 |
Disposable compressor filter |
19 |
16 |
$7.84 |