| Code | Description | Claims | Beneficiaries | Total Paid |
| E0466 |
Home vent non-invasive inter |
2,695 |
2,253 |
$1.54M |
| E1390 |
Oxygen concentrator |
18,654 |
17,789 |
$1.45M |
| E0445 |
Oximeter non-invasive |
266 |
261 |
$196K |
| K0738 |
Portable gas oxygen system |
7,960 |
7,589 |
$189K |
| E0601 |
Cont airway pressure device |
3,941 |
3,656 |
$169K |
| E0431 |
Portable gaseous 02 |
7,365 |
7,060 |
$112K |
| E0143 |
Walker folding wheeled w/o s |
2,059 |
1,965 |
$75K |
| K0001 |
Standard wheelchair |
3,721 |
3,475 |
$73K |
| E2402 |
Neg press wound therapy pump |
211 |
169 |
$70K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,352 |
1,213 |
$43K |
| E0570 |
Nebulizer with compression |
1,855 |
1,818 |
$40K |
| A7034 |
Nasal application device |
379 |
364 |
$19K |
| A7035 |
Pos airway press headgear |
760 |
726 |
$12K |
| A7038 |
Pos airway pressure filter |
1,719 |
1,472 |
$9K |
| A7030 |
Cpap full face mask |
92 |
87 |
$7K |
| A6550 |
Neg pres wound ther drsg set |
56 |
39 |
$7K |
| E0240 |
Bath/shower chair |
52 |
50 |
$5K |
| A7037 |
Pos airway pressure tubing |
413 |
389 |
$4K |
| E0630 |
Patient lift hydraulic |
238 |
191 |
$4K |
| A4604 |
Tubing with heating element |
116 |
113 |
$4K |
| A7031 |
Replacement facemask interfa |
134 |
106 |
$4K |
| E0562 |
Humidifier heated used w pap |
14 |
14 |
$2K |
| A7046 |
Repl water chamber, pap dev |
157 |
148 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
16 |
13 |
$1K |
| E0424 |
Stationary compressed gas 02 |
14 |
12 |
$910.14 |
| A7000 |
Disposable canister for pump |
22 |
16 |
$429.81 |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$302.24 |
| A7005 |
Nondisposable nebulizer set |
16 |
13 |
$176.50 |
| A7013 |
Disposable compressor filter |
42 |
41 |
$21.73 |