| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,553 |
16,570 |
$998K |
| E0601 |
Cont airway pressure device |
11,945 |
11,536 |
$726K |
| A7034 |
Nasal application device |
4,255 |
3,957 |
$239K |
| A7032 |
Replacement nasal cushion |
2,167 |
2,030 |
$205K |
| E0562 |
Humidifier heated used w pap |
3,125 |
3,057 |
$196K |
| A7030 |
Cpap full face mask |
2,102 |
1,935 |
$171K |
| A7031 |
Replacement facemask interfa |
2,001 |
1,831 |
$141K |
| A4604 |
Tubing with heating element |
4,121 |
3,843 |
$131K |
| E0470 |
Rad w/o backup non-inv intfc |
767 |
742 |
$97K |
| E0431 |
Portable gaseous 02 |
9,889 |
7,599 |
$90K |
| E0570 |
Nebulizer with compression |
4,194 |
3,612 |
$86K |
| A7033 |
Replacement nasal pillows |
1,462 |
1,327 |
$84K |
| A7038 |
Pos airway pressure filter |
6,593 |
6,061 |
$81K |
| E1392 |
Portable oxygen concentrator |
6,168 |
5,193 |
$72K |
| A7035 |
Pos airway press headgear |
3,672 |
3,407 |
$70K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,234 |
1,181 |
$53K |
| K0001 |
Standard wheelchair |
1,682 |
1,583 |
$41K |
| A7037 |
Pos airway pressure tubing |
2,043 |
1,870 |
$35K |
| A7046 |
Repl water chamber, pap dev |
2,322 |
2,137 |
$21K |
| A7039 |
Filter, non disposable w pap |
2,234 |
2,073 |
$16K |
| A7005 |
Nondisposable nebulizer set |
500 |
468 |
$9K |
| K0195 |
Elevating whlchair leg rests |
428 |
418 |
$5K |
| E0185 |
Gel pressure mattress pad |
309 |
296 |
$5K |
| E0973 |
W/ch access det adj armrest |
686 |
343 |
$3K |
| E0181 |
Press pad alternating w/ pum |
132 |
128 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
239 |
157 |
$1K |
| E0961 |
Wheelchair brake extension |
142 |
107 |
$451.13 |
| E2601 |
Gen w/c cushion wdth < 22 in |
12 |
12 |
$260.28 |
| A7013 |
Disposable compressor filter |
240 |
218 |
$146.15 |