| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,893 |
13,681 |
$923K |
| E0601 |
Cont airway pressure device |
4,538 |
4,495 |
$351K |
| E0466 |
Home vent non-invasive inter |
576 |
568 |
$175K |
| K0738 |
Portable gas oxygen system |
7,920 |
7,800 |
$126K |
| A7030 |
Cpap full face mask |
2,001 |
1,984 |
$121K |
| E0562 |
Humidifier heated used w pap |
469 |
468 |
$62K |
| K0001 |
Standard wheelchair |
2,872 |
2,841 |
$42K |
| A4554 |
Disposable underpads |
1,101 |
1,075 |
$40K |
| A4604 |
Tubing with heating element |
2,201 |
2,174 |
$35K |
| E0570 |
Nebulizer with compression |
1,321 |
1,252 |
$35K |
| A7031 |
Replacement facemask interfa |
1,076 |
1,014 |
$28K |
| A7035 |
Pos airway press headgear |
2,028 |
2,006 |
$23K |
| A7038 |
Pos airway pressure filter |
3,271 |
3,164 |
$16K |
| A7034 |
Nasal application device |
439 |
434 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
225 |
221 |
$7K |
| E1392 |
Portable oxygen concentrator |
1,206 |
1,171 |
$7K |
| A7039 |
Filter, non disposable w pap |
1,566 |
1,550 |
$6K |
| A4335 |
Incontinence supply |
1,105 |
1,077 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
146 |
145 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
52 |
51 |
$4K |
| A7005 |
Nondisposable nebulizer set |
210 |
210 |
$3K |
| T4527 |
Adult size pull-on lg |
13 |
13 |
$2K |
| A7037 |
Pos airway pressure tubing |
215 |
209 |
$2K |
| A7032 |
Replacement nasal cushion |
83 |
72 |
$1K |
| E0431 |
Portable gaseous 02 |
43 |
40 |
$554.73 |
| A7015 |
Aerosol mask used w nebulize |
190 |
190 |
$209.49 |
| K0195 |
Elevating whlchair leg rests |
24 |
24 |
$93.84 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$32.79 |