| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,217 |
4,488 |
$364K |
| E1390 |
Oxygen concentrator |
5,086 |
4,610 |
$312K |
| E0570 |
Nebulizer with compression |
9,775 |
9,335 |
$303K |
| T4534 |
Youth size pull-on |
1,678 |
1,374 |
$238K |
| E0470 |
Rad w/o backup non-inv intfc |
1,117 |
981 |
$122K |
| A7031 |
Replacement facemask interfa |
3,409 |
3,144 |
$119K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,304 |
2,082 |
$103K |
| A7030 |
Cpap full face mask |
1,253 |
1,168 |
$97K |
| E0562 |
Humidifier heated used w pap |
6,164 |
5,624 |
$96K |
| E0143 |
Walker folding wheeled w/o s |
1,882 |
1,726 |
$78K |
| K0001 |
Standard wheelchair |
5,100 |
4,714 |
$75K |
| A7037 |
Pos airway pressure tubing |
2,839 |
2,674 |
$55K |
| A7032 |
Replacement nasal cushion |
1,026 |
939 |
$42K |
| A7035 |
Pos airway press headgear |
2,243 |
2,068 |
$38K |
| A7038 |
Pos airway pressure filter |
6,344 |
5,848 |
$38K |
| E0630 |
Patient lift hydraulic |
538 |
500 |
$30K |
| A7034 |
Nasal application device |
451 |
423 |
$23K |
| E0431 |
Portable gaseous 02 |
3,727 |
3,214 |
$20K |
| K0195 |
Elevating whlchair leg rests |
1,910 |
1,741 |
$18K |
| K0003 |
Lightweight wheelchair |
362 |
328 |
$13K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
636 |
576 |
$11K |
| E0163 |
Commode chair with fixed arm |
336 |
319 |
$9K |
| A7046 |
Repl water chamber, pap dev |
910 |
835 |
$6K |
| T4530 |
Ped size brief/diaper lg |
55 |
50 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
1,955 |
921 |
$4K |
| E1392 |
Portable oxygen concentrator |
445 |
428 |
$4K |
| K0007 |
Extra heavy duty wheelchair |
40 |
38 |
$3K |
| E0156 |
Walker seat attachment |
418 |
396 |
$2K |
| E0443 |
Portable 02 contents, gas |
157 |
129 |
$2K |
| A7033 |
Replacement nasal pillows |
40 |
37 |
$1K |
| E0600 |
Suction pump portab hom modl |
23 |
12 |
$313.21 |
| E0149 |
Heavy duty wheeled walker |
89 |
82 |
$170.38 |