| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,361 |
2,331 |
$1.67M |
| E1390 |
Oxygen concentrator |
9,064 |
8,956 |
$913K |
| K0738 |
Portable gas oxygen system |
2,444 |
2,298 |
$97K |
| K0001 |
Standard wheelchair |
2,643 |
2,617 |
$94K |
| E1392 |
Portable oxygen concentrator |
2,254 |
2,201 |
$84K |
| E0143 |
Walker folding wheeled w/o s |
1,202 |
1,189 |
$72K |
| E0470 |
Rad w/o backup non-inv intfc |
467 |
467 |
$70K |
| E0601 |
Cont airway pressure device |
1,263 |
1,253 |
$57K |
| K0003 |
Lightweight wheelchair |
1,121 |
1,113 |
$53K |
| E0431 |
Portable gaseous 02 |
2,213 |
2,066 |
$48K |
| E0570 |
Nebulizer with compression |
1,696 |
1,690 |
$28K |
| E0562 |
Humidifier heated used w pap |
376 |
362 |
$22K |
| E0630 |
Patient lift hydraulic |
358 |
348 |
$19K |
| A7034 |
Nasal application device |
215 |
213 |
$12K |
| E0295 |
Hosp bed semi-elect w/o matt |
118 |
117 |
$9K |
| A7035 |
Pos airway press headgear |
420 |
416 |
$8K |
| A7038 |
Pos airway pressure filter |
578 |
575 |
$6K |
| E0600 |
Suction pump portab hom modl |
95 |
90 |
$4K |
| A7037 |
Pos airway pressure tubing |
223 |
221 |
$4K |
| E0163 |
Commode chair with fixed arm |
39 |
38 |
$2K |
| A4604 |
Tubing with heating element |
44 |
44 |
$2K |
| A7030 |
Cpap full face mask |
14 |
14 |
$1K |
| A7046 |
Repl water chamber, pap dev |
44 |
44 |
$608.84 |
| E0271 |
Mattress innerspring |
28 |
28 |
$413.76 |