| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,209 |
2,592 |
$1.17M |
| E1390 |
Oxygen concentrator |
25,675 |
21,730 |
$911K |
| E0601 |
Cont airway pressure device |
9,175 |
7,990 |
$285K |
| E0431 |
Portable gaseous 02 |
20,066 |
16,908 |
$159K |
| E0562 |
Humidifier heated used w pap |
4,743 |
4,279 |
$117K |
| E0470 |
Rad w/o backup non-inv intfc |
1,608 |
1,374 |
$98K |
| E0143 |
Walker folding wheeled w/o s |
2,756 |
2,522 |
$94K |
| A7030 |
Cpap full face mask |
1,296 |
1,126 |
$61K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,714 |
2,117 |
$58K |
| A7031 |
Replacement facemask interfa |
2,266 |
2,011 |
$50K |
| E0600 |
Suction pump portab hom modl |
559 |
440 |
$50K |
| E0163 |
Commode chair with fixed arm |
1,351 |
1,233 |
$50K |
| K0004 |
High strength ltwt whlchr |
1,405 |
1,195 |
$47K |
| E1392 |
Portable oxygen concentrator |
2,422 |
2,072 |
$41K |
| A4604 |
Tubing with heating element |
1,479 |
1,324 |
$37K |
| E0570 |
Nebulizer with compression |
2,401 |
1,920 |
$37K |
| K0003 |
Lightweight wheelchair |
1,541 |
1,386 |
$34K |
| E0973 |
W/ch access det adj armrest |
1,285 |
827 |
$25K |
| A7035 |
Pos airway press headgear |
1,696 |
1,490 |
$20K |
| K0195 |
Elevating whlchair leg rests |
461 |
425 |
$18K |
| K0001 |
Standard wheelchair |
1,610 |
1,426 |
$18K |
| A7034 |
Nasal application device |
404 |
354 |
$13K |
| A7032 |
Replacement nasal cushion |
489 |
444 |
$12K |
| E0565 |
Compressor air power source |
199 |
184 |
$11K |
| A7038 |
Pos airway pressure filter |
3,504 |
3,133 |
$8K |
| E0951 |
Loop heel |
740 |
606 |
$6K |
| A7046 |
Repl water chamber, pap dev |
514 |
451 |
$4K |
| E2611 |
Gen use back cush wdth <22in |
287 |
239 |
$4K |
| E0630 |
Patient lift hydraulic |
172 |
140 |
$3K |
| A7039 |
Filter, non disposable w pap |
655 |
595 |
$3K |
| A7037 |
Pos airway pressure tubing |
391 |
343 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
281 |
221 |
$2K |
| E0135 |
Walker folding adjust/fixed |
88 |
80 |
$2K |
| E0165 |
Commode chair with detacharm |
12 |
12 |
$1K |
| A7005 |
Nondisposable nebulizer set |
63 |
51 |
$516.64 |
| E0971 |
Wheelchair anti-tipping devi |
34 |
27 |
$484.96 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$256.32 |
| E0155 |
Walker wheel attachment,pair |
25 |
24 |
$255.21 |
| E0978 |
W/c acc,saf belt pelv strap |
15 |
12 |
$184.08 |
| E0156 |
Walker seat attachment |
14 |
12 |
$128.24 |
| A7013 |
Disposable compressor filter |
15 |
15 |
$10.32 |