| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,875 |
5,454 |
$261K |
| E0570 |
Nebulizer with compression |
6,669 |
5,827 |
$133K |
| A7030 |
Cpap full face mask |
2,627 |
2,381 |
$118K |
| E0601 |
Cont airway pressure device |
4,100 |
3,746 |
$97K |
| E0470 |
Rad w/o backup non-inv intfc |
959 |
862 |
$57K |
| A4604 |
Tubing with heating element |
1,421 |
1,353 |
$45K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,916 |
1,815 |
$37K |
| E0431 |
Portable gaseous 02 |
4,954 |
4,616 |
$36K |
| A7037 |
Pos airway pressure tubing |
2,058 |
1,793 |
$31K |
| K0001 |
Standard wheelchair |
3,342 |
3,201 |
$30K |
| A7035 |
Pos airway press headgear |
2,889 |
2,597 |
$30K |
| A7034 |
Nasal application device |
941 |
862 |
$24K |
| A7005 |
Nondisposable nebulizer set |
2,163 |
1,702 |
$23K |
| E0143 |
Walker folding wheeled w/o s |
652 |
611 |
$19K |
| A7031 |
Replacement facemask interfa |
877 |
770 |
$15K |
| E0562 |
Humidifier heated used w pap |
315 |
284 |
$12K |
| A7039 |
Filter, non disposable w pap |
2,019 |
1,865 |
$9K |
| E1130 |
Whlchr stand fxd arm ft rest |
394 |
315 |
$6K |
| E0163 |
Commode chair with fixed arm |
186 |
173 |
$5K |
| A7046 |
Repl water chamber, pap dev |
497 |
453 |
$3K |
| A4627 |
Spacer bag/reservoir |
127 |
91 |
$3K |
| E1160 |
Wheelchair fixed arms |
52 |
51 |
$3K |
| A7038 |
Pos airway pressure filter |
546 |
452 |
$2K |
| L4361 |
Pneuma/vac walk boot pre ots |
16 |
14 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
34 |
26 |
$644.96 |
| E1392 |
Portable oxygen concentrator |
96 |
95 |
$625.68 |
| A7032 |
Replacement nasal cushion |
17 |
13 |
$335.45 |
| E0149 |
Heavy duty wheeled walker |
13 |
12 |
$267.81 |