| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
44,258 |
43,786 |
$1.78M |
| E0466 |
Home vent non-invasive inter |
2,327 |
2,316 |
$491K |
| A7030 |
Cpap full face mask |
6,085 |
6,057 |
$312K |
| E0570 |
Nebulizer with compression |
22,220 |
22,100 |
$287K |
| E0431 |
Portable gaseous 02 |
28,843 |
28,514 |
$241K |
| A7031 |
Replacement facemask interfa |
8,729 |
8,662 |
$211K |
| K0001 |
Standard wheelchair |
9,266 |
9,213 |
$126K |
| E0601 |
Cont airway pressure device |
5,267 |
5,221 |
$110K |
| A7034 |
Nasal application device |
3,085 |
3,063 |
$94K |
| A4604 |
Tubing with heating element |
3,808 |
3,783 |
$79K |
| E0143 |
Walker folding wheeled w/o s |
2,244 |
2,217 |
$69K |
| A7032 |
Replacement nasal cushion |
2,458 |
2,432 |
$68K |
| E0562 |
Humidifier heated used w pap |
4,530 |
4,491 |
$56K |
| A7035 |
Pos airway press headgear |
5,198 |
5,169 |
$53K |
| A7037 |
Pos airway pressure tubing |
5,327 |
5,300 |
$46K |
| E1392 |
Portable oxygen concentrator |
4,646 |
4,595 |
$46K |
| A7038 |
Pos airway pressure filter |
13,501 |
13,323 |
$41K |
| K0195 |
Elevating whlchair leg rests |
6,552 |
6,525 |
$36K |
| A7033 |
Replacement nasal pillows |
1,777 |
1,750 |
$36K |
| E0443 |
Portable 02 contents, gas |
1,698 |
1,686 |
$23K |
| A7046 |
Repl water chamber, pap dev |
3,984 |
3,963 |
$23K |
| E0260 |
Hosp bed semi-electr w/ matt |
240 |
239 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
442 |
440 |
$17K |
| A7005 |
Nondisposable nebulizer set |
2,131 |
2,123 |
$15K |
| A7003 |
Nebulizer administration set |
9,326 |
9,039 |
$12K |
| B4035 |
Enteral feed supp pump per d |
233 |
228 |
$11K |
| E0483 |
Hi freq chest wall oscil sys |
50 |
50 |
$7K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
250 |
250 |
$4K |
| K0006 |
Heavy duty wheelchair |
95 |
95 |
$3K |
| A7039 |
Filter, non disposable w pap |
779 |
776 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
1,242 |
1,238 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
2,103 |
2,075 |
$2K |
| E0156 |
Walker seat attachment |
251 |
251 |
$2K |
| E0149 |
Heavy duty wheeled walker |
311 |
311 |
$2K |
| A7013 |
Disposable compressor filter |
3,724 |
3,706 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
61 |
61 |
$1K |
| E1038 |
Transport chair pt wt<=300lb |
207 |
207 |
$1K |
| E2603 |
Skin protect wc cus wd <22in |
12 |
12 |
$748.65 |
| E0600 |
Suction pump portab hom modl |
53 |
50 |
$409.87 |