| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,948 |
21,161 |
$2.09M |
| A7030 |
Cpap full face mask |
5,379 |
5,274 |
$657K |
| A7031 |
Replacement facemask interfa |
5,025 |
4,941 |
$628K |
| E0601 |
Cont airway pressure device |
8,676 |
8,387 |
$546K |
| E0570 |
Nebulizer with compression |
4,879 |
4,699 |
$263K |
| A7032 |
Replacement nasal cushion |
1,768 |
1,736 |
$252K |
| E0562 |
Humidifier heated used w pap |
1,432 |
1,392 |
$218K |
| A7034 |
Nasal application device |
2,915 |
2,842 |
$217K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,882 |
3,721 |
$205K |
| E0431 |
Portable gaseous 02 |
12,506 |
12,057 |
$191K |
| A7037 |
Pos airway pressure tubing |
7,743 |
7,572 |
$190K |
| E0470 |
Rad w/o backup non-inv intfc |
1,496 |
1,458 |
$180K |
| A7038 |
Pos airway pressure filter |
8,309 |
8,037 |
$134K |
| A7035 |
Pos airway press headgear |
5,166 |
5,043 |
$128K |
| A7033 |
Replacement nasal pillows |
894 |
874 |
$92K |
| K0001 |
Standard wheelchair |
3,605 |
3,448 |
$78K |
| E0143 |
Walker folding wheeled w/o s |
967 |
939 |
$51K |
| A7046 |
Repl water chamber, pap dev |
3,463 |
3,389 |
$43K |
| A7005 |
Nondisposable nebulizer set |
1,842 |
1,797 |
$38K |
| E0114 |
Crutch underarm pair no wood |
838 |
827 |
$28K |
| E0603 |
Electric breast pump |
119 |
119 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,590 |
1,533 |
$21K |
| E0971 |
Wheelchair anti-tipping devi |
556 |
472 |
$13K |
| A4604 |
Tubing with heating element |
266 |
266 |
$11K |
| K0006 |
Heavy duty wheelchair |
185 |
170 |
$10K |
| E0630 |
Patient lift hydraulic |
337 |
330 |
$8K |
| K0195 |
Elevating whlchair leg rests |
1,154 |
1,118 |
$8K |
| E0149 |
Heavy duty wheeled walker |
410 |
382 |
$7K |
| E0156 |
Walker seat attachment |
429 |
421 |
$4K |
| A6530 |
Compression stocking bk18-30 |
14 |
14 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
15 |
15 |
$1K |
| L4350 |
Ankle control ortho pre ots |
13 |
12 |
$795.72 |
| A7015 |
Aerosol mask used w nebulize |
560 |
551 |
$776.31 |
| A4565 |
Slings |
83 |
83 |
$585.20 |
| E0910 |
Trapeze bar attached to bed |
13 |
13 |
$133.18 |
| A7003 |
Nebulizer administration set |
30 |
27 |
$120.01 |