| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,619 |
6,291 |
$290K |
| E0431 |
Portable gaseous 02 |
4,265 |
3,207 |
$64K |
| E0570 |
Nebulizer with compression |
1,694 |
1,397 |
$26K |
| E0601 |
Cont airway pressure device |
1,022 |
733 |
$24K |
| A7038 |
Pos airway pressure filter |
975 |
679 |
$17K |
| A7030 |
Cpap full face mask |
249 |
191 |
$12K |
| A7037 |
Pos airway pressure tubing |
470 |
348 |
$11K |
| A7035 |
Pos airway press headgear |
371 |
282 |
$10K |
| K0001 |
Standard wheelchair |
625 |
464 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
109 |
82 |
$8K |
| K0002 |
Stnd hemi (low seat) whlchr |
479 |
341 |
$7K |
| A7031 |
Replacement facemask interfa |
257 |
178 |
$6K |
| A7034 |
Nasal application device |
182 |
129 |
$5K |
| A7005 |
Nondisposable nebulizer set |
378 |
319 |
$5K |
| E0466 |
Home vent non-invasive inter |
42 |
25 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
290 |
220 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
108 |
87 |
$4K |
| E0250 |
Hosp bed fixed ht w/ mattres |
253 |
175 |
$3K |
| A7039 |
Filter, non disposable w pap |
130 |
114 |
$2K |
| A7032 |
Replacement nasal cushion |
63 |
48 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
65 |
46 |
$2K |
| E0562 |
Humidifier heated used w pap |
17 |
14 |
$2K |
| A7003 |
Nebulizer administration set |
346 |
295 |
$1K |
| A4604 |
Tubing with heating element |
50 |
38 |
$1K |
| E0114 |
Crutch underarm pair no wood |
32 |
27 |
$486.13 |
| E0163 |
Commode chair with fixed arm |
17 |
12 |
$351.28 |
| A7046 |
Repl water chamber, pap dev |
14 |
12 |
$331.44 |
| E1392 |
Portable oxygen concentrator |
21 |
13 |
$190.37 |
| A7015 |
Aerosol mask used w nebulize |
44 |
41 |
$52.46 |