| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,805 |
4,019 |
$303K |
| E0601 |
Cont airway pressure device |
3,047 |
2,150 |
$81K |
| E0445 |
Oximeter non-invasive |
714 |
484 |
$67K |
| A7030 |
Cpap full face mask |
993 |
762 |
$47K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,364 |
1,529 |
$44K |
| K0001 |
Standard wheelchair |
3,861 |
2,678 |
$42K |
| E0431 |
Portable gaseous 02 |
2,979 |
2,164 |
$33K |
| E0570 |
Nebulizer with compression |
2,415 |
1,645 |
$28K |
| E0143 |
Walker folding wheeled w/o s |
879 |
654 |
$26K |
| A7031 |
Replacement facemask interfa |
1,210 |
828 |
$25K |
| A7034 |
Nasal application device |
680 |
545 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,422 |
963 |
$19K |
| K0003 |
Lightweight wheelchair |
1,015 |
680 |
$18K |
| A7035 |
Pos airway press headgear |
1,191 |
924 |
$15K |
| A7038 |
Pos airway pressure filter |
3,014 |
2,115 |
$9K |
| A7037 |
Pos airway pressure tubing |
708 |
460 |
$9K |
| A4604 |
Tubing with heating element |
849 |
736 |
$9K |
| E0619 |
Apnea monitor w recorder |
44 |
39 |
$8K |
| K0195 |
Elevating whlchair leg rests |
1,061 |
699 |
$6K |
| A4554 |
Disposable underpads |
135 |
105 |
$6K |
| E0163 |
Commode chair with fixed arm |
145 |
100 |
$5K |
| E0600 |
Suction pump portab hom modl |
141 |
98 |
$3K |
| A4624 |
Tracheal suction tube |
38 |
24 |
$3K |
| A7046 |
Repl water chamber, pap dev |
576 |
468 |
$3K |
| E0562 |
Humidifier heated used w pap |
14 |
13 |
$2K |
| A7000 |
Disposable canister for pump |
248 |
166 |
$2K |
| A7033 |
Replacement nasal pillows |
128 |
81 |
$2K |
| E0630 |
Patient lift hydraulic |
83 |
64 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
438 |
243 |
$2K |
| A7032 |
Replacement nasal cushion |
105 |
51 |
$1K |
| A4629 |
Tracheostomy care kit |
24 |
12 |
$1K |
| A7002 |
Tubing used w suction pump |
180 |
117 |
$469.94 |
| A7005 |
Nondisposable nebulizer set |
33 |
24 |
$398.94 |
| A7526 |
Tracheostomy tube collar |
24 |
13 |
$306.86 |
| E0156 |
Walker seat attachment |
26 |
25 |
$200.97 |