| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
34,480 |
33,666 |
$1.53M |
| E0466 |
Home vent non-invasive inter |
1,812 |
1,803 |
$652K |
| A7030 |
Cpap full face mask |
2,539 |
2,523 |
$208K |
| E0431 |
Portable gaseous 02 |
22,902 |
22,379 |
$194K |
| A7031 |
Replacement facemask interfa |
4,266 |
4,219 |
$147K |
| E0570 |
Nebulizer with compression |
13,909 |
13,687 |
$124K |
| E0601 |
Cont airway pressure device |
3,552 |
3,426 |
$112K |
| A4604 |
Tubing with heating element |
2,365 |
2,356 |
$71K |
| A7034 |
Nasal application device |
1,536 |
1,524 |
$63K |
| A7032 |
Replacement nasal cushion |
1,760 |
1,745 |
$60K |
| E0483 |
Hi freq chest wall oscil sys |
131 |
131 |
$46K |
| A7035 |
Pos airway press headgear |
2,527 |
2,513 |
$41K |
| A7038 |
Pos airway pressure filter |
7,556 |
7,444 |
$35K |
| A7037 |
Pos airway pressure tubing |
1,804 |
1,787 |
$24K |
| A7033 |
Replacement nasal pillows |
754 |
751 |
$23K |
| E0562 |
Humidifier heated used w pap |
2,418 |
2,367 |
$19K |
| A7046 |
Repl water chamber, pap dev |
1,754 |
1,747 |
$18K |
| A7005 |
Nondisposable nebulizer set |
1,649 |
1,626 |
$13K |
| E1392 |
Portable oxygen concentrator |
1,017 |
988 |
$13K |
| E0443 |
Portable 02 contents, gas |
922 |
909 |
$12K |
| K0001 |
Standard wheelchair |
1,976 |
1,942 |
$12K |
| E0143 |
Walker folding wheeled w/o s |
509 |
501 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
59 |
59 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
69 |
68 |
$5K |
| A7003 |
Nebulizer administration set |
3,429 |
3,293 |
$4K |
| E0156 |
Walker seat attachment |
314 |
313 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,203 |
1,182 |
$1K |
| K0195 |
Elevating whlchair leg rests |
313 |
310 |
$961.80 |
| E1038 |
Transport chair pt wt<=300lb |
275 |
272 |
$872.63 |
| A7013 |
Disposable compressor filter |
1,120 |
1,103 |
$400.73 |
| K0003 |
Lightweight wheelchair |
25 |
25 |
$273.38 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$29.74 |