| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,629 |
13,561 |
$1.03M |
| E0603 |
Electric breast pump |
1,592 |
1,557 |
$185K |
| E0601 |
Cont airway pressure device |
3,457 |
3,434 |
$165K |
| E0619 |
Apnea monitor w recorder |
891 |
887 |
$160K |
| E0431 |
Portable gaseous 02 |
9,196 |
9,140 |
$156K |
| E0570 |
Nebulizer with compression |
2,972 |
2,923 |
$132K |
| B4035 |
Enteral feed supp pump per d |
848 |
748 |
$125K |
| E0445 |
Oximeter non-invasive |
371 |
369 |
$96K |
| E0143 |
Walker folding wheeled w/o s |
1,418 |
1,394 |
$72K |
| B4087 |
Gastro/jejuno tube, std |
788 |
734 |
$50K |
| A7030 |
Cpap full face mask |
702 |
686 |
$41K |
| E0260 |
Hosp bed semi-electr w/ matt |
859 |
859 |
$39K |
| K0003 |
Lightweight wheelchair |
939 |
931 |
$39K |
| B4088 |
Gastro/jejuno tube, low-pro |
380 |
364 |
$36K |
| B9002 |
Enter nutr inf pump any type |
644 |
636 |
$33K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
268 |
247 |
$28K |
| E0562 |
Humidifier heated used w pap |
603 |
591 |
$24K |
| K0001 |
Standard wheelchair |
988 |
977 |
$22K |
| A7005 |
Nondisposable nebulizer set |
1,398 |
1,384 |
$20K |
| A7031 |
Replacement facemask interfa |
734 |
715 |
$19K |
| A7035 |
Pos airway press headgear |
1,075 |
1,053 |
$18K |
| K0738 |
Portable gas oxygen system |
2,181 |
2,176 |
$17K |
| A7037 |
Pos airway pressure tubing |
888 |
873 |
$16K |
| A7038 |
Pos airway pressure filter |
1,881 |
1,833 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
89 |
89 |
$7K |
| E0135 |
Walker folding adjust/fixed |
91 |
91 |
$5K |
| E0776 |
Iv pole |
468 |
459 |
$4K |
| K0195 |
Elevating whlchair leg rests |
375 |
333 |
$4K |
| A7034 |
Nasal application device |
66 |
65 |
$3K |
| A7046 |
Repl water chamber, pap dev |
399 |
392 |
$2K |
| E0155 |
Walker wheel attachment,pair |
97 |
97 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
885 |
868 |
$941.79 |
| K0002 |
Stnd hemi (low seat) whlchr |
26 |
26 |
$762.70 |
| A6402 |
Sterile gauze <= 16 sq in |
54 |
52 |
$378.75 |
| A4213 |
20+ cc syringe only |
75 |
68 |
$375.20 |
| A4604 |
Tubing with heating element |
49 |
49 |
$281.16 |
| E0156 |
Walker seat attachment |
25 |
24 |
$185.47 |
| A4450 |
Non-waterproof tape |
61 |
59 |
$122.88 |