| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,604 |
12,201 |
$608K |
| E0601 |
Cont airway pressure device |
10,183 |
9,486 |
$569K |
| E0470 |
Rad w/o backup non-inv intfc |
2,672 |
2,521 |
$365K |
| A7030 |
Cpap full face mask |
4,451 |
4,147 |
$299K |
| E0562 |
Humidifier heated used w pap |
2,282 |
2,147 |
$204K |
| A7031 |
Replacement facemask interfa |
5,148 |
4,631 |
$134K |
| E2402 |
Neg press wound therapy pump |
252 |
205 |
$97K |
| K0195 |
Elevating whlchair leg rests |
7,628 |
7,069 |
$94K |
| K0001 |
Standard wheelchair |
7,424 |
6,741 |
$93K |
| A7037 |
Pos airway pressure tubing |
5,515 |
5,197 |
$92K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,743 |
2,602 |
$75K |
| E0143 |
Walker folding wheeled w/o s |
1,807 |
1,665 |
$60K |
| E0570 |
Nebulizer with compression |
2,927 |
2,726 |
$57K |
| A7035 |
Pos airway press headgear |
3,595 |
3,362 |
$55K |
| E0431 |
Portable gaseous 02 |
11,865 |
10,560 |
$53K |
| A7034 |
Nasal application device |
940 |
900 |
$49K |
| A7038 |
Pos airway pressure filter |
7,366 |
6,711 |
$35K |
| K0816 |
Pwc gp 1 std cap chair |
1,197 |
1,103 |
$32K |
| A7032 |
Replacement nasal cushion |
850 |
787 |
$28K |
| E0163 |
Commode chair with fixed arm |
765 |
711 |
$14K |
| K0006 |
Heavy duty wheelchair |
316 |
294 |
$13K |
| K0003 |
Lightweight wheelchair |
617 |
578 |
$11K |
| E0261 |
Hosp bed semi-electr w/o mat |
489 |
435 |
$10K |
| A7039 |
Filter, non disposable w pap |
1,444 |
1,345 |
$8K |
| K0823 |
Pwc gp 2 std cap chair |
91 |
88 |
$7K |
| E0245 |
Tub stool or bench |
202 |
177 |
$6K |
| A7046 |
Repl water chamber, pap dev |
736 |
684 |
$5K |
| E0630 |
Patient lift hydraulic |
220 |
205 |
$4K |
| E0443 |
Portable 02 contents, gas |
118 |
98 |
$4K |
| E0165 |
Commode chair with detacharm |
515 |
493 |
$3K |
| E1392 |
Portable oxygen concentrator |
413 |
388 |
$3K |
| E0156 |
Walker seat attachment |
426 |
392 |
$2K |
| E0181 |
Press pad alternating w/ pum |
225 |
201 |
$2K |
| E2611 |
Gen use back cush wdth <22in |
18 |
18 |
$2K |
| A7003 |
Nebulizer administration set |
914 |
871 |
$1K |
| A7033 |
Replacement nasal pillows |
40 |
40 |
$1K |
| E0910 |
Trapeze bar attached to bed |
178 |
172 |
$905.22 |
| E2601 |
Gen w/c cushion wdth < 22 in |
18 |
16 |
$499.61 |
| A6550 |
Neg pres wound ther drsg set |
17 |
12 |
$425.60 |
| A7000 |
Disposable canister for pump |
17 |
12 |
$273.08 |
| A9279 |
Monitoring feature/devicenoc |
656 |
591 |
$54.48 |