| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,382 |
5,286 |
$330K |
| E0601 |
Cont airway pressure device |
2,781 |
2,766 |
$156K |
| K0001 |
Standard wheelchair |
2,391 |
2,372 |
$80K |
| K0738 |
Portable gas oxygen system |
2,158 |
2,141 |
$50K |
| E0570 |
Nebulizer with compression |
2,014 |
2,006 |
$39K |
| E0466 |
Home vent non-invasive inter |
63 |
63 |
$38K |
| E0562 |
Humidifier heated used w pap |
246 |
246 |
$33K |
| E0295 |
Hosp bed semi-elect w/o matt |
285 |
281 |
$24K |
| A7035 |
Pos airway press headgear |
1,275 |
1,269 |
$22K |
| A7034 |
Nasal application device |
426 |
423 |
$19K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,038 |
1,023 |
$17K |
| E0431 |
Portable gaseous 02 |
1,130 |
1,096 |
$17K |
| E1392 |
Portable oxygen concentrator |
747 |
744 |
$16K |
| E0630 |
Patient lift hydraulic |
539 |
529 |
$14K |
| A4604 |
Tubing with heating element |
468 |
465 |
$13K |
| A7038 |
Pos airway pressure filter |
2,135 |
2,123 |
$12K |
| A7030 |
Cpap full face mask |
116 |
116 |
$8K |
| A7032 |
Replacement nasal cushion |
274 |
270 |
$8K |
| A7046 |
Repl water chamber, pap dev |
709 |
705 |
$7K |
| E0163 |
Commode chair with fixed arm |
139 |
134 |
$6K |
| A7037 |
Pos airway pressure tubing |
301 |
300 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
68 |
67 |
$3K |
| E0305 |
Rails bed side half length |
168 |
164 |
$2K |
| A7031 |
Replacement facemask interfa |
37 |
37 |
$1K |
| E0271 |
Mattress innerspring |
65 |
65 |
$955.68 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$236.91 |
| A7013 |
Disposable compressor filter |
12 |
12 |
$7.20 |