| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,685 |
10,082 |
$445K |
| E0601 |
Cont airway pressure device |
7,070 |
6,609 |
$279K |
| A7030 |
Cpap full face mask |
3,724 |
3,489 |
$249K |
| E0562 |
Humidifier heated used w pap |
4,062 |
3,709 |
$134K |
| A7031 |
Replacement facemask interfa |
4,106 |
3,821 |
$128K |
| A4604 |
Tubing with heating element |
4,819 |
4,526 |
$121K |
| A7034 |
Nasal application device |
2,678 |
2,518 |
$117K |
| E0470 |
Rad w/o backup non-inv intfc |
1,075 |
1,015 |
$79K |
| A7035 |
Pos airway press headgear |
4,152 |
3,900 |
$63K |
| A7032 |
Replacement nasal cushion |
1,643 |
1,547 |
$57K |
| A7038 |
Pos airway pressure filter |
8,258 |
7,689 |
$41K |
| E0431 |
Portable gaseous 02 |
4,762 |
4,484 |
$41K |
| A7033 |
Replacement nasal pillows |
1,459 |
1,344 |
$37K |
| E0466 |
Home vent non-invasive inter |
126 |
105 |
$35K |
| K0738 |
Portable gas oxygen system |
2,308 |
2,231 |
$35K |
| E0471 |
Rad w/backup non inv intrfc |
227 |
219 |
$31K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,561 |
1,494 |
$27K |
| A7037 |
Pos airway pressure tubing |
1,373 |
1,285 |
$22K |
| E0277 |
Powered pres-redu air mattrs |
152 |
128 |
$10K |
| A7039 |
Filter, non disposable w pap |
1,598 |
1,493 |
$9K |
| A7046 |
Repl water chamber, pap dev |
986 |
934 |
$8K |
| E0630 |
Patient lift hydraulic |
559 |
525 |
$8K |
| E0303 |
Hosp bed hvy dty xtra wide |
79 |
75 |
$7K |
| E0570 |
Nebulizer with compression |
1,254 |
1,158 |
$6K |
| E1392 |
Portable oxygen concentrator |
487 |
460 |
$6K |
| E0185 |
Gel pressure mattress pad |
126 |
119 |
$5K |
| K0001 |
Standard wheelchair |
484 |
440 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
189 |
173 |
$4K |
| K0195 |
Elevating whlchair leg rests |
550 |
508 |
$2K |
| E0163 |
Commode chair with fixed arm |
81 |
69 |
$2K |
| A7005 |
Nondisposable nebulizer set |
269 |
241 |
$2K |
| E0600 |
Suction pump portab hom modl |
114 |
102 |
$2K |
| A7036 |
Pos airway press chinstrap |
225 |
215 |
$1K |
| E0181 |
Press pad alternating w/ pum |
152 |
121 |
$610.08 |
| E0971 |
Wheelchair anti-tipping devi |
121 |
41 |
$469.40 |
| E0974 |
W/ch access anti-rollback |
419 |
207 |
$418.53 |
| A7003 |
Nebulizer administration set |
264 |
229 |
$87.83 |
| E1038 |
Transport chair pt wt<=300lb |
25 |
24 |
$78.49 |