| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,694 |
13,695 |
$466K |
| A7030 |
Cpap full face mask |
1,603 |
1,402 |
$75K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
123 |
119 |
$57K |
| E0601 |
Cont airway pressure device |
2,816 |
2,361 |
$54K |
| E1392 |
Portable oxygen concentrator |
4,841 |
3,790 |
$47K |
| E0570 |
Nebulizer with compression |
3,568 |
3,129 |
$46K |
| E0431 |
Portable gaseous 02 |
6,256 |
5,189 |
$41K |
| A4604 |
Tubing with heating element |
2,096 |
1,789 |
$38K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,644 |
2,206 |
$37K |
| K0001 |
Standard wheelchair |
4,182 |
3,281 |
$25K |
| A4239 |
Non-adju cgm supply allow |
118 |
111 |
$19K |
| E0562 |
Humidifier heated used w pap |
3,136 |
2,653 |
$19K |
| A7034 |
Nasal application device |
476 |
398 |
$12K |
| A7035 |
Pos airway press headgear |
1,375 |
1,174 |
$11K |
| A7031 |
Replacement facemask interfa |
566 |
484 |
$9K |
| A7038 |
Pos airway pressure filter |
3,252 |
2,767 |
$7K |
| A5512 |
Multi den insert direct form |
296 |
153 |
$7K |
| A5500 |
Diab shoe for density insert |
302 |
156 |
$6K |
| A7003 |
Nebulizer administration set |
2,501 |
2,150 |
$5K |
| A7046 |
Repl water chamber, pap dev |
316 |
259 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
2,083 |
1,797 |
$2K |
| A7032 |
Replacement nasal cushion |
71 |
56 |
$1K |
| E0630 |
Patient lift hydraulic |
13 |
12 |
$511.04 |
| A7037 |
Pos airway pressure tubing |
57 |
55 |
$430.38 |
| E0143 |
Walker folding wheeled w/o s |
18 |
13 |
$308.63 |