| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,549 |
13,100 |
$1.28M |
| E0601 |
Cont airway pressure device |
5,709 |
4,757 |
$314K |
| E0570 |
Nebulizer with compression |
7,313 |
5,531 |
$288K |
| A7030 |
Cpap full face mask |
2,043 |
1,841 |
$218K |
| E0431 |
Portable gaseous 02 |
14,080 |
11,056 |
$177K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,819 |
2,036 |
$128K |
| E0143 |
Walker folding wheeled w/o s |
2,061 |
1,724 |
$98K |
| K0003 |
Lightweight wheelchair |
1,229 |
913 |
$47K |
| A7035 |
Pos airway press headgear |
2,170 |
1,949 |
$45K |
| A4627 |
Spacer bag/reservoir |
1,124 |
1,027 |
$39K |
| E0562 |
Humidifier heated used w pap |
197 |
187 |
$36K |
| K0001 |
Standard wheelchair |
1,751 |
1,206 |
$29K |
| A4604 |
Tubing with heating element |
1,679 |
1,468 |
$29K |
| E0163 |
Commode chair with fixed arm |
657 |
551 |
$27K |
| A7037 |
Pos airway pressure tubing |
851 |
778 |
$27K |
| A7031 |
Replacement facemask interfa |
649 |
543 |
$27K |
| E1392 |
Portable oxygen concentrator |
1,083 |
885 |
$25K |
| A7034 |
Nasal application device |
428 |
387 |
$22K |
| A7038 |
Pos airway pressure filter |
3,584 |
3,179 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
102 |
91 |
$11K |
| K0195 |
Elevating whlchair leg rests |
734 |
546 |
$6K |
| A7003 |
Nebulizer administration set |
2,902 |
2,508 |
$6K |
| A7046 |
Repl water chamber, pap dev |
481 |
397 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
1,368 |
1,183 |
$2K |
| E0149 |
Heavy duty wheeled walker |
33 |
26 |
$1K |
| E0156 |
Walker seat attachment |
14 |
12 |
$155.64 |