| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,817 |
10,208 |
$542K |
| E0466 |
Home vent non-invasive inter |
1,109 |
736 |
$277K |
| E0601 |
Cont airway pressure device |
6,422 |
5,376 |
$176K |
| E0431 |
Portable gaseous 02 |
8,448 |
6,152 |
$135K |
| K0001 |
Standard wheelchair |
4,548 |
3,888 |
$81K |
| E0570 |
Nebulizer with compression |
2,524 |
2,029 |
$53K |
| E0470 |
Rad w/o backup non-inv intfc |
701 |
539 |
$48K |
| E0562 |
Humidifier heated used w pap |
2,202 |
1,993 |
$44K |
| E0143 |
Walker folding wheeled w/o s |
1,040 |
839 |
$37K |
| E0260 |
Hosp bed semi-electr w/ matt |
578 |
428 |
$27K |
| A7030 |
Cpap full face mask |
479 |
372 |
$20K |
| E1392 |
Portable oxygen concentrator |
3,072 |
2,222 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,104 |
862 |
$14K |
| A7038 |
Pos airway pressure filter |
1,713 |
1,339 |
$14K |
| A7034 |
Nasal application device |
493 |
409 |
$13K |
| A7035 |
Pos airway press headgear |
1,273 |
996 |
$12K |
| E0163 |
Commode chair with fixed arm |
302 |
260 |
$8K |
| E1399 |
Durable medical equipment mi |
195 |
51 |
$4K |
| E0600 |
Suction pump portab hom modl |
225 |
138 |
$3K |
| K0003 |
Lightweight wheelchair |
215 |
166 |
$3K |
| A7005 |
Nondisposable nebulizer set |
351 |
327 |
$2K |
| A7013 |
Disposable compressor filter |
612 |
546 |
$2K |
| E0619 |
Apnea monitor w recorder |
16 |
13 |
$2K |
| E0630 |
Patient lift hydraulic |
69 |
51 |
$1K |
| K0738 |
Portable gas oxygen system |
119 |
67 |
$1K |
| A7031 |
Replacement facemask interfa |
60 |
51 |
$1K |
| A4604 |
Tubing with heating element |
62 |
50 |
$1K |
| E0156 |
Walker seat attachment |
162 |
140 |
$866.30 |
| A7046 |
Repl water chamber, pap dev |
118 |
91 |
$481.42 |
| A7003 |
Nebulizer administration set |
271 |
218 |
$297.95 |
| A7015 |
Aerosol mask used w nebulize |
30 |
28 |
$20.63 |