| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,592 |
1,145 |
$734K |
| E1390 |
Oxygen concentrator |
15,694 |
11,669 |
$617K |
| E0431 |
Portable gaseous 02 |
13,038 |
9,754 |
$99K |
| E0143 |
Walker folding wheeled w/o s |
1,119 |
872 |
$27K |
| E0601 |
Cont airway pressure device |
805 |
606 |
$19K |
| K0003 |
Lightweight wheelchair |
1,294 |
920 |
$14K |
| E0163 |
Commode chair with fixed arm |
553 |
438 |
$12K |
| K0001 |
Standard wheelchair |
716 |
571 |
$8K |
| K0195 |
Elevating whlchair leg rests |
1,389 |
985 |
$6K |
| E0261 |
Hosp bed semi-electr w/o mat |
629 |
426 |
$5K |
| E1392 |
Portable oxygen concentrator |
236 |
198 |
$3K |
| E0570 |
Nebulizer with compression |
237 |
189 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
96 |
65 |
$1K |
| A7030 |
Cpap full face mask |
33 |
24 |
$689.08 |
| E2601 |
Gen w/c cushion wdth < 22 in |
327 |
233 |
$681.22 |
| A7037 |
Pos airway pressure tubing |
132 |
94 |
$635.33 |
| E0630 |
Patient lift hydraulic |
33 |
26 |
$556.16 |
| A7038 |
Pos airway pressure filter |
348 |
249 |
$497.23 |
| E0562 |
Humidifier heated used w pap |
84 |
74 |
$416.68 |
| A7035 |
Pos airway press headgear |
40 |
27 |
$164.79 |