| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
7,340 |
6,483 |
$330K |
| E1390 |
Oxygen concentrator |
7,753 |
5,875 |
$302K |
| E0562 |
Humidifier heated used w pap |
2,497 |
2,068 |
$100K |
| E0470 |
Rad w/o backup non-inv intfc |
712 |
626 |
$70K |
| K0738 |
Portable gas oxygen system |
3,304 |
2,531 |
$58K |
| E0466 |
Home vent non-invasive inter |
98 |
90 |
$36K |
| E1392 |
Portable oxygen concentrator |
2,763 |
2,063 |
$32K |
| A7030 |
Cpap full face mask |
364 |
323 |
$30K |
| A7035 |
Pos airway press headgear |
1,088 |
957 |
$25K |
| K0001 |
Standard wheelchair |
712 |
634 |
$18K |
| E0570 |
Nebulizer with compression |
1,038 |
813 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
461 |
389 |
$17K |
| A7037 |
Pos airway pressure tubing |
810 |
707 |
$13K |
| E0143 |
Walker folding wheeled w/o s |
181 |
143 |
$6K |
| A7034 |
Nasal application device |
73 |
69 |
$4K |
| E0961 |
Wheelchair brake extension |
443 |
361 |
$3K |
| E0990 |
Wheelchair elevating leg res |
178 |
149 |
$2K |
| A7038 |
Pos airway pressure filter |
838 |
726 |
$2K |
| A4604 |
Tubing with heating element |
31 |
30 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
383 |
308 |
$1K |
| E0550 |
Humidif extens supple w ippb |
12 |
12 |
$61.54 |