| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,560 |
11,885 |
$682K |
| E0601 |
Cont airway pressure device |
7,905 |
7,400 |
$445K |
| A7034 |
Nasal application device |
2,538 |
2,317 |
$157K |
| E0562 |
Humidifier heated used w pap |
1,128 |
980 |
$155K |
| K0738 |
Portable gas oxygen system |
6,455 |
6,226 |
$138K |
| A7030 |
Cpap full face mask |
1,449 |
1,298 |
$135K |
| A7032 |
Replacement nasal cushion |
2,297 |
2,094 |
$120K |
| E0470 |
Rad w/o backup non-inv intfc |
1,033 |
969 |
$107K |
| E0466 |
Home vent non-invasive inter |
273 |
213 |
$103K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,549 |
2,324 |
$99K |
| E1392 |
Portable oxygen concentrator |
1,652 |
1,504 |
$75K |
| A7035 |
Pos airway press headgear |
3,048 |
2,751 |
$63K |
| A7031 |
Replacement facemask interfa |
1,337 |
1,190 |
$61K |
| A7037 |
Pos airway pressure tubing |
3,140 |
2,834 |
$58K |
| E0600 |
Suction pump portab hom modl |
1,487 |
1,406 |
$52K |
| E0431 |
Portable gaseous 02 |
2,815 |
2,638 |
$46K |
| A7038 |
Pos airway pressure filter |
6,779 |
6,164 |
$35K |
| A4604 |
Tubing with heating element |
834 |
779 |
$33K |
| E0630 |
Patient lift hydraulic |
982 |
885 |
$30K |
| B4035 |
Enteral feed supp pump per d |
135 |
109 |
$25K |
| A7033 |
Replacement nasal pillows |
606 |
576 |
$23K |
| K0001 |
Standard wheelchair |
973 |
930 |
$18K |
| A7046 |
Repl water chamber, pap dev |
1,226 |
1,142 |
$14K |
| B9002 |
Enter nutr inf pump any type |
52 |
51 |
$5K |
| E0424 |
Stationary compressed gas 02 |
90 |
82 |
$4K |
| A7526 |
Tracheostomy tube collar |
61 |
53 |
$3K |
| A4628 |
Oropharyngeal suction cath |
194 |
154 |
$2K |
| E0776 |
Iv pole |
13 |
13 |
$354.02 |
| A7000 |
Disposable canister for pump |
44 |
40 |
$352.83 |
| E1038 |
Transport chair pt wt<=300lb |
36 |
36 |
$255.32 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$99.01 |