| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
5,193 |
5,128 |
$1.89M |
| E1390 |
Oxygen concentrator |
25,770 |
25,458 |
$1.28M |
| E0601 |
Cont airway pressure device |
18,659 |
18,460 |
$557K |
| A7030 |
Cpap full face mask |
3,057 |
3,030 |
$215K |
| A7034 |
Nasal application device |
4,773 |
4,732 |
$195K |
| E0562 |
Humidifier heated used w pap |
3,859 |
3,714 |
$192K |
| E0277 |
Powered pres-redu air mattrs |
326 |
326 |
$152K |
| E0470 |
Rad w/o backup non-inv intfc |
1,555 |
1,546 |
$122K |
| A7032 |
Replacement nasal cushion |
3,358 |
3,302 |
$108K |
| E1392 |
Portable oxygen concentrator |
6,607 |
6,528 |
$108K |
| K0738 |
Portable gas oxygen system |
5,781 |
5,706 |
$104K |
| E0431 |
Portable gaseous 02 |
5,892 |
5,822 |
$98K |
| A7035 |
Pos airway press headgear |
6,047 |
5,991 |
$84K |
| E0260 |
Hosp bed semi-electr w/ matt |
465 |
465 |
$84K |
| A7031 |
Replacement facemask interfa |
2,639 |
2,596 |
$84K |
| K0003 |
Lightweight wheelchair |
649 |
649 |
$78K |
| A7037 |
Pos airway pressure tubing |
5,982 |
5,926 |
$71K |
| K0004 |
High strength ltwt whlchr |
283 |
283 |
$53K |
| A7038 |
Pos airway pressure filter |
9,203 |
9,053 |
$34K |
| K0195 |
Elevating whlchair leg rests |
967 |
959 |
$28K |
| A7033 |
Replacement nasal pillows |
1,100 |
1,079 |
$28K |
| A4604 |
Tubing with heating element |
1,522 |
1,507 |
$25K |
| A7046 |
Repl water chamber, pap dev |
2,789 |
2,759 |
$20K |
| K0001 |
Standard wheelchair |
393 |
392 |
$16K |
| 94660 |
|
95 |
95 |
$10K |
| E1038 |
Transport chair pt wt<=300lb |
129 |
124 |
$7K |
| E0630 |
Patient lift hydraulic |
72 |
69 |
$7K |
| E0570 |
Nebulizer with compression |
218 |
214 |
$4K |
| A7036 |
Pos airway press chinstrap |
184 |
179 |
$1K |
| E0181 |
Press pad alternating w/ pum |
52 |
52 |
$1K |
| A7039 |
Filter, non disposable w pap |
445 |
443 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
26 |
26 |
$846.80 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$143.18 |
| A7013 |
Disposable compressor filter |
12 |
12 |
$4.91 |