| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,010 |
7,686 |
$681K |
| E0601 |
Cont airway pressure device |
4,560 |
4,205 |
$232K |
| E0466 |
Home vent non-invasive inter |
223 |
177 |
$56K |
| E0431 |
Portable gaseous 02 |
6,651 |
5,816 |
$51K |
| K0001 |
Standard wheelchair |
740 |
660 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
170 |
143 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
298 |
265 |
$17K |
| E0570 |
Nebulizer with compression |
1,101 |
923 |
$9K |
| E0562 |
Humidifier heated used w pap |
3,047 |
2,810 |
$8K |
| A7031 |
Replacement facemask interfa |
613 |
480 |
$3K |
| E1392 |
Portable oxygen concentrator |
403 |
378 |
$2K |
| A7030 |
Cpap full face mask |
348 |
265 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
32 |
25 |
$1K |
| E0163 |
Commode chair with fixed arm |
28 |
25 |
$909.10 |
| A7034 |
Nasal application device |
147 |
107 |
$491.85 |
| A7032 |
Replacement nasal cushion |
67 |
52 |
$486.42 |
| A4604 |
Tubing with heating element |
519 |
402 |
$299.32 |
| A7038 |
Pos airway pressure filter |
1,182 |
934 |
$161.06 |
| A7035 |
Pos airway press headgear |
313 |
229 |
$58.83 |
| A7046 |
Repl water chamber, pap dev |
198 |
148 |
$31.87 |
| A7037 |
Pos airway pressure tubing |
35 |
29 |
$16.69 |
| K0195 |
Elevating whlchair leg rests |
13 |
12 |
$2.40 |