| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,324 |
13,026 |
$447K |
| A7030 |
Cpap full face mask |
5,410 |
4,695 |
$366K |
| E0601 |
Cont airway pressure device |
11,503 |
9,780 |
$302K |
| E0466 |
Home vent non-invasive inter |
868 |
739 |
$172K |
| A7034 |
Nasal application device |
3,563 |
3,072 |
$150K |
| E0562 |
Humidifier heated used w pap |
9,045 |
7,773 |
$130K |
| A7037 |
Pos airway pressure tubing |
8,292 |
7,206 |
$120K |
| A7035 |
Pos airway press headgear |
6,789 |
5,928 |
$108K |
| E0470 |
Rad w/o backup non-inv intfc |
1,859 |
1,605 |
$66K |
| E1392 |
Portable oxygen concentrator |
7,179 |
6,086 |
$59K |
| A7031 |
Replacement facemask interfa |
2,130 |
1,821 |
$36K |
| A7038 |
Pos airway pressure filter |
9,779 |
8,479 |
$32K |
| E0570 |
Nebulizer with compression |
4,334 |
3,705 |
$29K |
| A7039 |
Filter, non disposable w pap |
5,014 |
4,365 |
$24K |
| E0431 |
Portable gaseous 02 |
388 |
362 |
$16K |
| A7046 |
Repl water chamber, pap dev |
2,419 |
2,144 |
$15K |
| K0001 |
Standard wheelchair |
2,936 |
2,542 |
$14K |
| K0738 |
Portable gas oxygen system |
2,646 |
2,358 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,278 |
1,105 |
$11K |
| A7005 |
Nondisposable nebulizer set |
737 |
632 |
$7K |
| E0471 |
Rad w/backup non inv intrfc |
59 |
53 |
$6K |
| A7032 |
Replacement nasal cushion |
727 |
616 |
$6K |
| E0635 |
Patient lift electric |
60 |
54 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
154 |
111 |
$2K |
| A4604 |
Tubing with heating element |
213 |
179 |
$1K |
| E0114 |
Crutch underarm pair no wood |
29 |
24 |
$567.55 |
| E0149 |
Heavy duty wheeled walker |
48 |
42 |
$367.38 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$12.64 |
| A7013 |
Disposable compressor filter |
13 |
12 |
$6.84 |