| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,401 |
15,161 |
$845K |
| E0601 |
Cont airway pressure device |
9,974 |
8,818 |
$351K |
| E0431 |
Portable gaseous 02 |
12,294 |
9,924 |
$87K |
| E0466 |
Home vent non-invasive inter |
270 |
224 |
$70K |
| K0001 |
Standard wheelchair |
4,378 |
3,670 |
$65K |
| E0143 |
Walker folding wheeled w/o s |
2,093 |
1,703 |
$62K |
| E0470 |
Rad w/o backup non-inv intfc |
678 |
625 |
$56K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,176 |
1,545 |
$43K |
| E0562 |
Humidifier heated used w pap |
6,441 |
5,794 |
$36K |
| E0570 |
Nebulizer with compression |
5,254 |
4,289 |
$28K |
| E0163 |
Commode chair with fixed arm |
1,172 |
936 |
$24K |
| E1392 |
Portable oxygen concentrator |
2,644 |
1,928 |
$13K |
| K0195 |
Elevating whlchair leg rests |
1,363 |
1,145 |
$8K |
| A7031 |
Replacement facemask interfa |
2,591 |
2,035 |
$8K |
| E0603 |
Electric breast pump |
67 |
65 |
$6K |
| E0600 |
Suction pump portab hom modl |
455 |
384 |
$6K |
| E0630 |
Patient lift hydraulic |
344 |
244 |
$4K |
| A7032 |
Replacement nasal cushion |
690 |
541 |
$3K |
| A7030 |
Cpap full face mask |
1,904 |
1,523 |
$3K |
| A7033 |
Replacement nasal pillows |
723 |
563 |
$2K |
| E0255 |
Hospital bed var ht w/ mattr |
44 |
36 |
$2K |
| A7034 |
Nasal application device |
1,328 |
1,060 |
$2K |
| A4604 |
Tubing with heating element |
2,541 |
2,025 |
$2K |
| E0156 |
Walker seat attachment |
252 |
224 |
$964.40 |
| A7038 |
Pos airway pressure filter |
4,718 |
3,726 |
$709.79 |
| A7035 |
Pos airway press headgear |
1,801 |
1,428 |
$271.12 |
| A7046 |
Repl water chamber, pap dev |
1,067 |
849 |
$147.55 |
| A7005 |
Nondisposable nebulizer set |
27 |
24 |
$140.55 |
| A7037 |
Pos airway pressure tubing |
163 |
131 |
$50.80 |
| K0738 |
Portable gas oxygen system |
41 |
38 |
$15.84 |