| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,969 |
14,156 |
$844K |
| E0603 |
Electric breast pump |
2,396 |
2,347 |
$458K |
| E0601 |
Cont airway pressure device |
5,123 |
4,915 |
$299K |
| E0470 |
Rad w/o backup non-inv intfc |
2,022 |
1,970 |
$285K |
| E0466 |
Home vent non-invasive inter |
457 |
438 |
$233K |
| E0431 |
Portable gaseous 02 |
9,193 |
8,668 |
$203K |
| E0562 |
Humidifier heated used w pap |
2,763 |
2,606 |
$181K |
| A7030 |
Cpap full face mask |
1,712 |
1,628 |
$121K |
| K0001 |
Standard wheelchair |
2,960 |
2,839 |
$109K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,231 |
2,086 |
$99K |
| E0143 |
Walker folding wheeled w/o s |
2,360 |
2,246 |
$92K |
| E0570 |
Nebulizer with compression |
2,740 |
2,604 |
$58K |
| E1392 |
Portable oxygen concentrator |
3,301 |
3,126 |
$47K |
| A7035 |
Pos airway press headgear |
1,743 |
1,660 |
$40K |
| E0163 |
Commode chair with fixed arm |
842 |
811 |
$33K |
| A4604 |
Tubing with heating element |
867 |
829 |
$29K |
| A7031 |
Replacement facemask interfa |
753 |
718 |
$26K |
| E0247 |
Trans bench w/wo comm open |
330 |
304 |
$20K |
| A7034 |
Nasal application device |
292 |
273 |
$13K |
| A7037 |
Pos airway pressure tubing |
984 |
927 |
$10K |
| E0245 |
Tub stool or bench |
362 |
317 |
$10K |
| A7038 |
Pos airway pressure filter |
3,071 |
2,891 |
$7K |
| E0149 |
Heavy duty wheeled walker |
157 |
155 |
$4K |
| K0195 |
Elevating whlchair leg rests |
558 |
521 |
$3K |
| A7005 |
Nondisposable nebulizer set |
169 |
159 |
$2K |
| A7046 |
Repl water chamber, pap dev |
502 |
477 |
$209.16 |
| A7015 |
Aerosol mask used w nebulize |
90 |
86 |
$80.68 |