| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
36,477 |
30,816 |
$988K |
| E0601 |
Cont airway pressure device |
11,131 |
9,622 |
$252K |
| A7030 |
Cpap full face mask |
6,365 |
5,423 |
$235K |
| E1392 |
Portable oxygen concentrator |
21,683 |
18,414 |
$206K |
| A7034 |
Nasal application device |
5,671 |
4,835 |
$133K |
| A7031 |
Replacement facemask interfa |
7,066 |
6,293 |
$112K |
| A4604 |
Tubing with heating element |
5,108 |
4,460 |
$97K |
| E0562 |
Humidifier heated used w pap |
8,714 |
7,435 |
$90K |
| A7032 |
Replacement nasal cushion |
4,594 |
3,993 |
$75K |
| A7035 |
Pos airway press headgear |
7,973 |
6,820 |
$64K |
| E0431 |
Portable gaseous 02 |
10,007 |
8,441 |
$64K |
| A7033 |
Replacement nasal pillows |
4,226 |
3,667 |
$55K |
| A7038 |
Pos airway pressure filter |
20,388 |
17,781 |
$47K |
| E0470 |
Rad w/o backup non-inv intfc |
1,178 |
1,002 |
$43K |
| A7037 |
Pos airway pressure tubing |
6,979 |
5,847 |
$38K |
| E0570 |
Nebulizer with compression |
6,673 |
5,687 |
$36K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,843 |
2,416 |
$32K |
| A4351 |
Straight tip urine catheter |
364 |
282 |
$24K |
| K0001 |
Standard wheelchair |
3,514 |
2,974 |
$24K |
| A7046 |
Repl water chamber, pap dev |
3,600 |
3,059 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
877 |
742 |
$13K |
| A7039 |
Filter, non disposable w pap |
3,861 |
3,271 |
$10K |
| A7005 |
Nondisposable nebulizer set |
1,009 |
868 |
$5K |
| A7036 |
Pos airway press chinstrap |
729 |
666 |
$4K |
| E0630 |
Patient lift hydraulic |
358 |
330 |
$3K |
| K0002 |
Stnd hemi (low seat) whlchr |
296 |
221 |
$3K |
| K0003 |
Lightweight wheelchair |
192 |
151 |
$2K |
| K0195 |
Elevating whlchair leg rests |
662 |
547 |
$2K |
| A7013 |
Disposable compressor filter |
1,301 |
1,159 |
$436.29 |
| A7003 |
Nebulizer administration set |
335 |
316 |
$189.82 |
| A7015 |
Aerosol mask used w nebulize |
288 |
253 |
$142.23 |
| K0006 |
Heavy duty wheelchair |
16 |
12 |
$126.46 |
| A7004 |
Disposable nebulizer sml vol |
29 |
28 |
$23.67 |
| E0156 |
Walker seat attachment |
15 |
14 |
$7.37 |