| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,119 |
12,938 |
$414K |
| E0601 |
Cont airway pressure device |
6,107 |
5,046 |
$157K |
| E0431 |
Portable gaseous 02 |
10,316 |
8,824 |
$66K |
| E0570 |
Nebulizer with compression |
4,666 |
3,754 |
$57K |
| A4604 |
Tubing with heating element |
2,681 |
2,270 |
$47K |
| A7030 |
Cpap full face mask |
1,285 |
1,115 |
$45K |
| E0562 |
Humidifier heated used w pap |
3,841 |
3,036 |
$43K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,295 |
2,026 |
$42K |
| E0466 |
Home vent non-invasive inter |
103 |
87 |
$41K |
| A7031 |
Replacement facemask interfa |
1,939 |
1,606 |
$32K |
| A7034 |
Nasal application device |
1,051 |
901 |
$27K |
| K0001 |
Standard wheelchair |
3,104 |
2,578 |
$25K |
| A7035 |
Pos airway press headgear |
2,145 |
1,826 |
$18K |
| A7038 |
Pos airway pressure filter |
4,319 |
3,460 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
277 |
252 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
108 |
91 |
$7K |
| A7032 |
Replacement nasal cushion |
393 |
329 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
5,532 |
2,337 |
$6K |
| A7046 |
Repl water chamber, pap dev |
413 |
369 |
$2K |
| A7005 |
Nondisposable nebulizer set |
359 |
295 |
$2K |
| E1392 |
Portable oxygen concentrator |
117 |
107 |
$2K |
| E0149 |
Heavy duty wheeled walker |
36 |
25 |
$848.30 |
| A7003 |
Nebulizer administration set |
924 |
781 |
$377.42 |
| A7013 |
Disposable compressor filter |
622 |
493 |
$314.10 |
| E0978 |
W/c acc,saf belt pelv strap |
13 |
12 |
$175.04 |
| E0156 |
Walker seat attachment |
15 |
13 |
$88.59 |