| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
36,910 |
29,677 |
$932K |
| E2510 |
Sgd w multi methods msg/accs |
152 |
128 |
$588K |
| A7030 |
Cpap full face mask |
8,273 |
7,040 |
$301K |
| E0601 |
Cont airway pressure device |
8,810 |
7,837 |
$175K |
| A7031 |
Replacement facemask interfa |
10,958 |
9,485 |
$171K |
| E1392 |
Portable oxygen concentrator |
18,821 |
15,489 |
$156K |
| E0470 |
Rad w/o backup non-inv intfc |
3,048 |
2,642 |
$116K |
| A4604 |
Tubing with heating element |
6,551 |
5,589 |
$107K |
| A7034 |
Nasal application device |
4,577 |
3,889 |
$100K |
| E0570 |
Nebulizer with compression |
8,160 |
7,021 |
$81K |
| E0562 |
Humidifier heated used w pap |
6,358 |
5,592 |
$81K |
| A7032 |
Replacement nasal cushion |
4,732 |
4,074 |
$75K |
| E0431 |
Portable gaseous 02 |
10,322 |
8,544 |
$68K |
| A7035 |
Pos airway press headgear |
7,906 |
6,697 |
$61K |
| A7038 |
Pos airway pressure filter |
22,253 |
19,087 |
$50K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,851 |
2,431 |
$40K |
| A7033 |
Replacement nasal pillows |
2,814 |
2,376 |
$38K |
| A7037 |
Pos airway pressure tubing |
6,187 |
5,250 |
$36K |
| K0001 |
Standard wheelchair |
4,500 |
3,838 |
$31K |
| A7046 |
Repl water chamber, pap dev |
4,057 |
3,400 |
$19K |
| A4351 |
Straight tip urine catheter |
199 |
176 |
$18K |
| A7039 |
Filter, non disposable w pap |
4,934 |
4,184 |
$13K |
| A7005 |
Nondisposable nebulizer set |
1,722 |
1,571 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
798 |
693 |
$11K |
| K0195 |
Elevating whlchair leg rests |
1,895 |
1,584 |
$5K |
| K0002 |
Stnd hemi (low seat) whlchr |
443 |
318 |
$4K |
| E0630 |
Patient lift hydraulic |
235 |
190 |
$2K |
| A7036 |
Pos airway press chinstrap |
453 |
389 |
$2K |
| K0823 |
Pwc gp 2 std cap chair |
77 |
75 |
$2K |
| E0163 |
Commode chair with fixed arm |
74 |
65 |
$1K |
| A7013 |
Disposable compressor filter |
1,708 |
1,565 |
$872.31 |
| E0118 |
Crutch substitute |
12 |
12 |
$660.00 |
| K0006 |
Heavy duty wheelchair |
44 |
36 |
$531.09 |
| A7015 |
Aerosol mask used w nebulize |
445 |
405 |
$349.29 |
| K0003 |
Lightweight wheelchair |
24 |
24 |
$325.55 |
| A7003 |
Nebulizer administration set |
307 |
284 |
$240.31 |
| A7004 |
Disposable nebulizer sml vol |
35 |
32 |
$38.56 |