| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,453 |
17,797 |
$755K |
| E0601 |
Cont airway pressure device |
7,057 |
5,936 |
$384K |
| A7030 |
Cpap full face mask |
3,726 |
3,402 |
$203K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,296 |
5,819 |
$175K |
| E0570 |
Nebulizer with compression |
5,119 |
4,565 |
$172K |
| A4604 |
Tubing with heating element |
5,701 |
5,270 |
$153K |
| E0443 |
Portable 02 contents, gas |
4,704 |
3,913 |
$108K |
| K0001 |
Standard wheelchair |
7,872 |
6,392 |
$101K |
| E0562 |
Humidifier heated used w pap |
7,100 |
6,168 |
$95K |
| E0431 |
Portable gaseous 02 |
12,311 |
10,576 |
$94K |
| A7034 |
Nasal application device |
2,143 |
1,961 |
$76K |
| K0823 |
Pwc gp 2 std cap chair |
707 |
492 |
$66K |
| A7031 |
Replacement facemask interfa |
2,636 |
2,426 |
$59K |
| A7035 |
Pos airway press headgear |
4,277 |
3,941 |
$53K |
| E0470 |
Rad w/o backup non-inv intfc |
588 |
401 |
$42K |
| E0143 |
Walker folding wheeled w/o s |
1,513 |
1,373 |
$37K |
| E0630 |
Patient lift hydraulic |
1,514 |
1,221 |
$31K |
| A7046 |
Repl water chamber, pap dev |
2,764 |
2,556 |
$26K |
| K0003 |
Lightweight wheelchair |
1,110 |
1,026 |
$26K |
| E0163 |
Commode chair with fixed arm |
878 |
810 |
$25K |
| K0195 |
Elevating whlchair leg rests |
3,428 |
2,866 |
$20K |
| A7032 |
Replacement nasal cushion |
940 |
874 |
$13K |
| A7038 |
Pos airway pressure filter |
6,875 |
6,146 |
$12K |
| E0247 |
Trans bench w/wo comm open |
117 |
108 |
$11K |
| A7003 |
Nebulizer administration set |
2,989 |
2,748 |
$10K |
| K0006 |
Heavy duty wheelchair |
259 |
217 |
$10K |
| E0181 |
Press pad alternating w/ pum |
1,497 |
1,159 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,268 |
1,205 |
$6K |
| E0245 |
Tub stool or bench |
219 |
212 |
$5K |
| E0156 |
Walker seat attachment |
362 |
319 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
1,408 |
828 |
$2K |
| A7037 |
Pos airway pressure tubing |
249 |
225 |
$2K |
| E0165 |
Commode chair with detacharm |
61 |
50 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
68 |
66 |
$1K |
| E0434 |
Portable liquid 02 |
175 |
126 |
$590.63 |
| E0961 |
Wheelchair brake extension |
642 |
366 |
$502.99 |
| E0439 |
Stationary liquid 02 |
17 |
12 |
$290.76 |
| E0910 |
Trapeze bar attached to bed |
86 |
75 |
$240.45 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$207.57 |
| E1038 |
Transport chair pt wt<=300lb |
16 |
12 |
$17.12 |