| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,522 |
13,883 |
$1.26M |
| E0601 |
Cont airway pressure device |
4,596 |
4,107 |
$445K |
| A7030 |
Cpap full face mask |
3,634 |
3,299 |
$339K |
| A7034 |
Nasal application device |
3,655 |
3,412 |
$240K |
| A7031 |
Replacement facemask interfa |
6,011 |
5,439 |
$211K |
| E0470 |
Rad w/o backup non-inv intfc |
1,310 |
1,137 |
$211K |
| E0603 |
Electric breast pump |
1,023 |
860 |
$149K |
| E0562 |
Humidifier heated used w pap |
3,797 |
3,472 |
$145K |
| A7032 |
Replacement nasal cushion |
3,340 |
3,081 |
$139K |
| E0570 |
Nebulizer with compression |
5,227 |
4,465 |
$126K |
| A7037 |
Pos airway pressure tubing |
5,316 |
4,905 |
$117K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,056 |
1,647 |
$107K |
| A7035 |
Pos airway press headgear |
4,887 |
4,474 |
$101K |
| A7038 |
Pos airway pressure filter |
14,175 |
13,121 |
$85K |
| A7033 |
Replacement nasal pillows |
2,334 |
2,193 |
$79K |
| E1392 |
Portable oxygen concentrator |
3,857 |
3,309 |
$79K |
| E0431 |
Portable gaseous 02 |
5,233 |
4,658 |
$74K |
| K0001 |
Standard wheelchair |
2,500 |
1,970 |
$56K |
| A4604 |
Tubing with heating element |
1,439 |
1,316 |
$48K |
| E0471 |
Rad w/backup non inv intrfc |
167 |
154 |
$46K |
| A7046 |
Repl water chamber, pap dev |
2,872 |
2,661 |
$29K |
| A7039 |
Filter, non disposable w pap |
2,693 |
2,458 |
$21K |
| A7003 |
Nebulizer administration set |
3,606 |
3,337 |
$12K |
| E0143 |
Walker folding wheeled w/o s |
193 |
166 |
$10K |
| A4670 |
Automatic bp monitor, dial |
173 |
155 |
$8K |
| K0738 |
Portable gas oxygen system |
227 |
217 |
$6K |
| E0630 |
Patient lift hydraulic |
84 |
73 |
$4K |
| A7036 |
Pos airway press chinstrap |
137 |
125 |
$1K |
| E0156 |
Walker seat attachment |
125 |
109 |
$1K |
| A7045 |
Repl exhalation port for pap |
87 |
75 |
$682.25 |
| A7005 |
Nondisposable nebulizer set |
16 |
15 |
$304.07 |
| A7007 |
Lg vol nebulizer disposable |
24 |
23 |
$107.66 |
| A4615 |
Cannula nasal |
46 |
38 |
$11.90 |
| A7013 |
Disposable compressor filter |
17 |
16 |
$9.94 |