| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,159 |
6,709 |
$493K |
| E1390 |
Oxygen concentrator |
3,570 |
3,163 |
$246K |
| A7031 |
Replacement facemask interfa |
5,556 |
5,290 |
$210K |
| A7032 |
Replacement nasal cushion |
3,320 |
3,116 |
$150K |
| A7030 |
Cpap full face mask |
1,443 |
1,374 |
$147K |
| E0570 |
Nebulizer with compression |
3,021 |
2,862 |
$132K |
| E0619 |
Apnea monitor w recorder |
558 |
539 |
$116K |
| E0562 |
Humidifier heated used w pap |
790 |
759 |
$92K |
| A7037 |
Pos airway pressure tubing |
2,757 |
2,611 |
$68K |
| K0001 |
Standard wheelchair |
4,539 |
4,143 |
$61K |
| A7038 |
Pos airway pressure filter |
8,945 |
8,512 |
$58K |
| A7035 |
Pos airway press headgear |
2,228 |
2,096 |
$50K |
| E0470 |
Rad w/o backup non-inv intfc |
193 |
181 |
$42K |
| A7034 |
Nasal application device |
565 |
513 |
$37K |
| E0143 |
Walker folding wheeled w/o s |
861 |
791 |
$35K |
| E0260 |
Hosp bed semi-electr w/ matt |
657 |
613 |
$27K |
| E0431 |
Portable gaseous 02 |
3,370 |
2,909 |
$24K |
| K0195 |
Elevating whlchair leg rests |
1,106 |
1,005 |
$14K |
| E0163 |
Commode chair with fixed arm |
440 |
403 |
$9K |
| E0443 |
Portable 02 contents, gas |
511 |
332 |
$7K |
| E0630 |
Patient lift hydraulic |
250 |
203 |
$4K |
| A7039 |
Filter, non disposable w pap |
477 |
462 |
$4K |
| A7003 |
Nebulizer administration set |
2,229 |
2,137 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
2,173 |
2,075 |
$2K |
| A7046 |
Repl water chamber, pap dev |
389 |
359 |
$2K |
| A7005 |
Nondisposable nebulizer set |
40 |
39 |
$642.30 |
| A4557 |
Lead wires, pair |
128 |
116 |
$614.99 |
| E0168 |
Heavyduty/wide commode chair |
25 |
24 |
$449.66 |
| A4556 |
Electrodes, pair |
86 |
79 |
$348.26 |
| K0052 |
Swingaway detach ftrest repl |
941 |
883 |
$329.11 |