| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,722 |
14,681 |
$1.32M |
| E0431 |
Portable gaseous 02 |
9,914 |
9,875 |
$224K |
| E0601 |
Cont airway pressure device |
2,702 |
2,696 |
$82K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,054 |
2,043 |
$49K |
| E0570 |
Nebulizer with compression |
1,662 |
1,648 |
$24K |
| K0003 |
Lightweight wheelchair |
787 |
785 |
$15K |
| K0001 |
Standard wheelchair |
1,279 |
1,267 |
$12K |
| A7030 |
Cpap full face mask |
157 |
156 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
112 |
112 |
$5K |
| A7035 |
Pos airway press headgear |
358 |
356 |
$4K |
| E0630 |
Patient lift hydraulic |
160 |
160 |
$3K |
| A7038 |
Pos airway pressure filter |
597 |
591 |
$3K |
| A7037 |
Pos airway pressure tubing |
150 |
149 |
$2K |
| A4624 |
Tracheal suction tube |
17 |
16 |
$2K |
| A7031 |
Replacement facemask interfa |
72 |
71 |
$2K |
| A4927 |
Non-sterile gloves |
76 |
74 |
$2K |
| E0603 |
Electric breast pump |
14 |
14 |
$2K |
| A7526 |
Tracheostomy tube collar |
26 |
25 |
$1K |
| A7520 |
Trach/laryn tube non-cuffed |
14 |
14 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
27 |
26 |
$966.28 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$852.98 |
| A7000 |
Disposable canister for pump |
78 |
77 |
$551.41 |
| K0195 |
Elevating whlchair leg rests |
89 |
89 |
$512.26 |
| A7034 |
Nasal application device |
13 |
13 |
$361.69 |
| E0600 |
Suction pump portab hom modl |
13 |
13 |
$272.77 |
| A7002 |
Tubing used w suction pump |
29 |
28 |
$171.77 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$131.92 |
| A4604 |
Tubing with heating element |
12 |
12 |
$103.32 |
| A7003 |
Nebulizer administration set |
75 |
73 |
$85.63 |