| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,891 |
14,900 |
$1.41M |
| K0004 |
High strength ltwt whlchr |
14,253 |
12,773 |
$661K |
| E0431 |
Portable gaseous 02 |
25,256 |
14,516 |
$357K |
| E0601 |
Cont airway pressure device |
8,694 |
7,730 |
$265K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,062 |
3,743 |
$211K |
| E0470 |
Rad w/o backup non-inv intfc |
1,572 |
1,455 |
$128K |
| K0195 |
Elevating whlchair leg rests |
17,024 |
15,279 |
$120K |
| E0277 |
Powered pres-redu air mattrs |
709 |
626 |
$117K |
| K0007 |
Extra heavy duty wheelchair |
1,793 |
1,632 |
$116K |
| E0630 |
Patient lift hydraulic |
1,635 |
1,492 |
$73K |
| E0143 |
Walker folding wheeled w/o s |
769 |
716 |
$40K |
| E0562 |
Humidifier heated used w pap |
612 |
554 |
$36K |
| K0003 |
Lightweight wheelchair |
594 |
506 |
$21K |
| E0971 |
Wheelchair anti-tipping devi |
723 |
673 |
$18K |
| A7030 |
Cpap full face mask |
199 |
174 |
$18K |
| E0163 |
Commode chair with fixed arm |
197 |
181 |
$12K |
| A7035 |
Pos airway press headgear |
652 |
599 |
$11K |
| A9900 |
Supply/accessory/service |
2,448 |
2,004 |
$11K |
| A7037 |
Pos airway pressure tubing |
610 |
550 |
$10K |
| E0303 |
Hosp bed hvy dty xtra wide |
69 |
62 |
$8K |
| E0570 |
Nebulizer with compression |
496 |
404 |
$7K |
| A9279 |
Monitoring feature/devicenoc |
70 |
56 |
$4K |
| E0149 |
Heavy duty wheeled walker |
99 |
97 |
$2K |
| A7046 |
Repl water chamber, pap dev |
388 |
345 |
$2K |
| A7038 |
Pos airway pressure filter |
580 |
536 |
$1K |
| E1353 |
Oxygen supplies regulator |
11,371 |
10,566 |
$1K |
| E1399 |
Durable medical equipment mi |
51 |
44 |
$940.00 |
| E0165 |
Commode chair with detacharm |
12 |
12 |
$868.61 |
| A7034 |
Nasal application device |
14 |
12 |
$790.44 |
| K0001 |
Standard wheelchair |
12 |
12 |
$162.87 |
| A4615 |
Cannula nasal |
636 |
577 |
$91.52 |
| A4616 |
Tubing (oxygen) per foot |
101 |
83 |
$3.19 |