| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,212 |
19,432 |
$1.57M |
| E0431 |
Portable gaseous 02 |
15,791 |
15,212 |
$205K |
| E0601 |
Cont airway pressure device |
2,581 |
2,125 |
$179K |
| A7030 |
Cpap full face mask |
1,616 |
1,597 |
$116K |
| K0001 |
Standard wheelchair |
4,080 |
3,731 |
$57K |
| E0562 |
Humidifier heated used w pap |
2,163 |
1,711 |
$43K |
| E0570 |
Nebulizer with compression |
1,603 |
1,515 |
$41K |
| A7035 |
Pos airway press headgear |
1,427 |
1,414 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,590 |
1,572 |
$17K |
| A7031 |
Replacement facemask interfa |
385 |
377 |
$15K |
| A7038 |
Pos airway pressure filter |
2,643 |
2,574 |
$14K |
| A4604 |
Tubing with heating element |
257 |
255 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
73 |
63 |
$10K |
| K0195 |
Elevating whlchair leg rests |
676 |
594 |
$6K |
| K0003 |
Lightweight wheelchair |
370 |
359 |
$6K |
| E0443 |
Portable 02 contents, gas |
329 |
327 |
$5K |
| A7046 |
Repl water chamber, pap dev |
471 |
466 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
201 |
199 |
$5K |
| E0261 |
Hosp bed semi-electr w/o mat |
205 |
199 |
$5K |
| A7039 |
Filter, non disposable w pap |
965 |
954 |
$4K |
| A7034 |
Nasal application device |
88 |
86 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
141 |
137 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
57 |
53 |
$464.28 |
| E0156 |
Walker seat attachment |
16 |
15 |
$88.69 |