| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,849 |
11,345 |
$568K |
| E0601 |
Cont airway pressure device |
11,825 |
10,084 |
$410K |
| E0470 |
Rad w/o backup non-inv intfc |
2,497 |
2,024 |
$162K |
| E1399 |
Durable medical equipment mi |
420 |
413 |
$91K |
| E0570 |
Nebulizer with compression |
5,409 |
4,263 |
$68K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,469 |
2,036 |
$66K |
| K0001 |
Standard wheelchair |
5,343 |
4,512 |
$45K |
| E0562 |
Humidifier heated used w pap |
7,764 |
6,730 |
$39K |
| E0431 |
Portable gaseous 02 |
6,629 |
5,460 |
$37K |
| E1392 |
Portable oxygen concentrator |
6,156 |
5,002 |
$36K |
| E0143 |
Walker folding wheeled w/o s |
1,637 |
1,389 |
$33K |
| A7030 |
Cpap full face mask |
3,048 |
2,408 |
$25K |
| A7035 |
Pos airway press headgear |
3,102 |
2,468 |
$20K |
| A7031 |
Replacement facemask interfa |
3,100 |
2,449 |
$13K |
| E0466 |
Home vent non-invasive inter |
46 |
38 |
$13K |
| E0630 |
Patient lift hydraulic |
654 |
580 |
$11K |
| A7038 |
Pos airway pressure filter |
5,197 |
4,198 |
$11K |
| E0471 |
Rad w/backup non inv intrfc |
156 |
107 |
$11K |
| A7032 |
Replacement nasal cushion |
1,078 |
849 |
$10K |
| E0163 |
Commode chair with fixed arm |
390 |
344 |
$10K |
| A7034 |
Nasal application device |
2,006 |
1,620 |
$4K |
| A7005 |
Nondisposable nebulizer set |
1,114 |
949 |
$4K |
| A7033 |
Replacement nasal pillows |
281 |
248 |
$3K |
| K0003 |
Lightweight wheelchair |
233 |
219 |
$3K |
| A7037 |
Pos airway pressure tubing |
1,286 |
1,099 |
$3K |
| E0149 |
Heavy duty wheeled walker |
307 |
255 |
$3K |
| K0195 |
Elevating whlchair leg rests |
1,113 |
1,002 |
$2K |
| E0156 |
Walker seat attachment |
459 |
398 |
$1K |
| A7046 |
Repl water chamber, pap dev |
1,913 |
1,491 |
$1K |
| K0002 |
Stnd hemi (low seat) whlchr |
105 |
92 |
$823.63 |
| A7039 |
Filter, non disposable w pap |
556 |
438 |
$443.09 |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$280.39 |
| A4604 |
Tubing with heating element |
3,109 |
2,347 |
$168.57 |