| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
10,121 |
10,089 |
$1.03M |
| E0562 |
Humidifier heated used w pap |
5,370 |
5,349 |
$393K |
| E1390 |
Oxygen concentrator |
4,873 |
4,826 |
$361K |
| E0470 |
Rad w/o backup non-inv intfc |
1,020 |
1,009 |
$330K |
| K0001 |
Standard wheelchair |
3,074 |
3,059 |
$136K |
| A4604 |
Tubing with heating element |
3,864 |
3,831 |
$130K |
| A7034 |
Nasal application device |
1,145 |
1,143 |
$79K |
| T4541 |
Large disposable underpad |
986 |
983 |
$78K |
| A7030 |
Cpap full face mask |
1,436 |
1,417 |
$76K |
| E0143 |
Walker folding wheeled w/o s |
2,338 |
2,322 |
$74K |
| K0738 |
Portable gas oxygen system |
3,264 |
3,242 |
$74K |
| A7035 |
Pos airway press headgear |
3,478 |
3,443 |
$71K |
| E0570 |
Nebulizer with compression |
2,599 |
2,592 |
$55K |
| A7031 |
Replacement facemask interfa |
1,479 |
1,457 |
$54K |
| K0195 |
Elevating whlchair leg rests |
1,702 |
1,677 |
$48K |
| A7046 |
Repl water chamber, pap dev |
2,997 |
2,977 |
$34K |
| E0630 |
Patient lift hydraulic |
596 |
595 |
$27K |
| A7038 |
Pos airway pressure filter |
4,200 |
4,168 |
$26K |
| T4535 |
Disposable liner/shield/pad |
295 |
293 |
$23K |
| K0002 |
Stnd hemi (low seat) whlchr |
333 |
330 |
$21K |
| T4524 |
Adult size brief/diaper xl |
227 |
227 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
895 |
895 |
$16K |
| E0971 |
Wheelchair anti-tipping devi |
492 |
405 |
$12K |
| K0823 |
Pwc gp 2 std cap chair |
13 |
12 |
$10K |
| E1392 |
Portable oxygen concentrator |
345 |
338 |
$8K |
| A7032 |
Replacement nasal cushion |
275 |
275 |
$8K |
| E0250 |
Hosp bed fixed ht w/ mattres |
507 |
504 |
$7K |
| E0978 |
W/c acc,saf belt pelv strap |
621 |
619 |
$6K |
| E0961 |
Wheelchair brake extension |
413 |
336 |
$5K |
| E0181 |
Press pad alternating w/ pum |
478 |
478 |
$5K |
| E0247 |
Trans bench w/wo comm open |
61 |
61 |
$5K |
| A7005 |
Nondisposable nebulizer set |
170 |
170 |
$3K |
| T4522 |
Adult size brief/diaper med |
12 |
12 |
$1K |
| E0951 |
Loop heel |
53 |
37 |
$472.13 |
| A7015 |
Aerosol mask used w nebulize |
27 |
27 |
$29.77 |