| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,394 |
7,529 |
$257K |
| E0601 |
Cont airway pressure device |
2,546 |
2,205 |
$60K |
| E0431 |
Portable gaseous 02 |
7,479 |
6,013 |
$50K |
| E0466 |
Home vent non-invasive inter |
189 |
176 |
$41K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,426 |
2,014 |
$33K |
| E0143 |
Walker folding wheeled w/o s |
1,576 |
1,338 |
$29K |
| E0562 |
Humidifier heated used w pap |
1,155 |
980 |
$19K |
| A7030 |
Cpap full face mask |
460 |
393 |
$19K |
| E0570 |
Nebulizer with compression |
2,812 |
2,272 |
$16K |
| E0630 |
Patient lift hydraulic |
1,201 |
1,025 |
$15K |
| K0001 |
Standard wheelchair |
3,554 |
2,879 |
$13K |
| E0619 |
Apnea monitor w recorder |
51 |
49 |
$11K |
| A7038 |
Pos airway pressure filter |
3,178 |
2,141 |
$10K |
| A4604 |
Tubing with heating element |
756 |
620 |
$9K |
| A7035 |
Pos airway press headgear |
826 |
697 |
$7K |
| A7034 |
Nasal application device |
153 |
123 |
$4K |
| E0261 |
Hosp bed semi-electr w/o mat |
197 |
171 |
$2K |
| A7039 |
Filter, non disposable w pap |
648 |
562 |
$2K |
| E1392 |
Portable oxygen concentrator |
242 |
204 |
$2K |
| E0163 |
Commode chair with fixed arm |
142 |
124 |
$2K |
| A7003 |
Nebulizer administration set |
572 |
432 |
$2K |
| K0195 |
Elevating whlchair leg rests |
697 |
580 |
$1K |
| A7032 |
Replacement nasal cushion |
124 |
88 |
$1K |
| K0003 |
Lightweight wheelchair |
451 |
369 |
$1K |
| A7037 |
Pos airway pressure tubing |
128 |
114 |
$1K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
273 |
252 |
$832.87 |
| E0600 |
Suction pump portab hom modl |
52 |
49 |
$739.93 |
| A7000 |
Disposable canister for pump |
51 |
39 |
$344.72 |
| E0149 |
Heavy duty wheeled walker |
28 |
27 |
$340.23 |
| A7015 |
Aerosol mask used w nebulize |
156 |
141 |
$330.25 |
| A7046 |
Repl water chamber, pap dev |
83 |
64 |
$324.11 |
| E1038 |
Transport chair pt wt<=300lb |
70 |
61 |
$252.83 |
| A7031 |
Replacement facemask interfa |
15 |
12 |
$245.80 |
| A7002 |
Tubing used w suction pump |
38 |
29 |
$143.35 |