| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,129 |
9,682 |
$604K |
| E0601 |
Cont airway pressure device |
5,256 |
4,951 |
$293K |
| E0562 |
Humidifier heated used w pap |
3,147 |
2,892 |
$148K |
| E1392 |
Portable oxygen concentrator |
6,446 |
6,157 |
$109K |
| A7030 |
Cpap full face mask |
1,125 |
1,078 |
$84K |
| E0470 |
Rad w/o backup non-inv intfc |
569 |
538 |
$72K |
| A4604 |
Tubing with heating element |
1,805 |
1,711 |
$63K |
| K0001 |
Standard wheelchair |
2,216 |
2,098 |
$58K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,216 |
1,115 |
$48K |
| A7035 |
Pos airway press headgear |
1,839 |
1,747 |
$44K |
| E0570 |
Nebulizer with compression |
1,692 |
1,604 |
$37K |
| E0603 |
Electric breast pump |
164 |
162 |
$30K |
| E0143 |
Walker folding wheeled w/o s |
652 |
626 |
$21K |
| E0431 |
Portable gaseous 02 |
872 |
829 |
$21K |
| A7034 |
Nasal application device |
204 |
191 |
$10K |
| E0471 |
Rad w/backup non inv intrfc |
25 |
24 |
$7K |
| A7038 |
Pos airway pressure filter |
2,102 |
1,994 |
$5K |
| A7031 |
Replacement facemask interfa |
166 |
155 |
$3K |
| E0163 |
Commode chair with fixed arm |
67 |
62 |
$2K |
| A7046 |
Repl water chamber, pap dev |
75 |
73 |
$490.23 |
| A7015 |
Aerosol mask used w nebulize |
169 |
157 |
$188.86 |
| A7005 |
Nondisposable nebulizer set |
13 |
12 |
$166.85 |
| E0951 |
Loop heel |
129 |
65 |
$105.87 |