| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,818 |
17,770 |
$812K |
| E0601 |
Cont airway pressure device |
4,643 |
4,249 |
$256K |
| K0738 |
Portable gas oxygen system |
9,700 |
8,767 |
$168K |
| E0466 |
Home vent non-invasive inter |
527 |
457 |
$140K |
| A7034 |
Nasal application device |
3,309 |
2,905 |
$135K |
| A7030 |
Cpap full face mask |
1,871 |
1,612 |
$101K |
| A4604 |
Tubing with heating element |
3,338 |
2,989 |
$88K |
| E0562 |
Humidifier heated used w pap |
563 |
490 |
$63K |
| K0001 |
Standard wheelchair |
2,994 |
2,711 |
$59K |
| A7035 |
Pos airway press headgear |
3,902 |
3,464 |
$59K |
| A7031 |
Replacement facemask interfa |
1,545 |
1,312 |
$40K |
| E1392 |
Portable oxygen concentrator |
3,507 |
3,233 |
$39K |
| E0424 |
Stationary compressed gas 02 |
721 |
636 |
$39K |
| A7032 |
Replacement nasal cushion |
1,462 |
1,278 |
$39K |
| A7038 |
Pos airway pressure filter |
5,793 |
5,110 |
$33K |
| E0431 |
Portable gaseous 02 |
3,036 |
2,760 |
$32K |
| A7033 |
Replacement nasal pillows |
1,024 |
889 |
$25K |
| E0295 |
Hosp bed semi-elect w/o matt |
912 |
821 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,636 |
2,385 |
$23K |
| K0003 |
Lightweight wheelchair |
441 |
417 |
$20K |
| A7037 |
Pos airway pressure tubing |
1,965 |
1,712 |
$19K |
| E0630 |
Patient lift hydraulic |
640 |
572 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
161 |
129 |
$6K |
| E0570 |
Nebulizer with compression |
254 |
242 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
248 |
222 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
149 |
127 |
$3K |
| E0604 |
Hosp grade elec breast pump |
54 |
48 |
$2K |
| A7036 |
Pos airway press chinstrap |
105 |
97 |
$730.59 |
| E0156 |
Walker seat attachment |
54 |
41 |
$349.41 |
| E0600 |
Suction pump portab hom modl |
13 |
12 |
$320.64 |
| A7005 |
Nondisposable nebulizer set |
43 |
37 |
$287.16 |
| A7039 |
Filter, non disposable w pap |
70 |
59 |
$265.05 |
| A7003 |
Nebulizer administration set |
29 |
24 |
$18.00 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$3.76 |