| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,376 |
11,130 |
$591K |
| E0466 |
Home vent non-invasive inter |
935 |
786 |
$268K |
| E0601 |
Cont airway pressure device |
3,400 |
2,846 |
$266K |
| E0470 |
Rad w/o backup non-inv intfc |
1,240 |
941 |
$101K |
| E0562 |
Humidifier heated used w pap |
1,000 |
728 |
$93K |
| A7034 |
Nasal application device |
2,279 |
1,680 |
$81K |
| K0001 |
Standard wheelchair |
3,047 |
2,672 |
$69K |
| A7030 |
Cpap full face mask |
1,396 |
1,048 |
$68K |
| K0738 |
Portable gas oxygen system |
4,552 |
3,686 |
$57K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,995 |
1,459 |
$55K |
| A4604 |
Tubing with heating element |
1,910 |
1,467 |
$44K |
| A7035 |
Pos airway press headgear |
2,809 |
2,087 |
$32K |
| E0431 |
Portable gaseous 02 |
3,345 |
2,691 |
$31K |
| E0143 |
Walker folding wheeled w/o s |
703 |
583 |
$31K |
| E0570 |
Nebulizer with compression |
961 |
762 |
$29K |
| E1392 |
Portable oxygen concentrator |
1,520 |
714 |
$27K |
| A7032 |
Replacement nasal cushion |
707 |
532 |
$23K |
| A7031 |
Replacement facemask interfa |
909 |
684 |
$22K |
| K0007 |
Extra heavy duty wheelchair |
228 |
209 |
$20K |
| A7038 |
Pos airway pressure filter |
3,951 |
2,908 |
$20K |
| A7037 |
Pos airway pressure tubing |
1,940 |
1,459 |
$19K |
| E0261 |
Hosp bed semi-electr w/o mat |
522 |
412 |
$14K |
| E0630 |
Patient lift hydraulic |
541 |
432 |
$13K |
| E0471 |
Rad w/backup non inv intrfc |
45 |
36 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,004 |
759 |
$5K |
| A7033 |
Replacement nasal pillows |
49 |
39 |
$2K |
| E0156 |
Walker seat attachment |
85 |
73 |
$975.33 |
| E0184 |
Dry pressure mattress |
65 |
44 |
$294.64 |
| A7036 |
Pos airway press chinstrap |
45 |
27 |
$223.05 |