| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,650 |
3,593 |
$2.09M |
| E1390 |
Oxygen concentrator |
16,224 |
15,433 |
$1.17M |
| E0601 |
Cont airway pressure device |
7,075 |
6,860 |
$351K |
| K0001 |
Standard wheelchair |
7,039 |
6,832 |
$229K |
| E0562 |
Humidifier heated used w pap |
2,529 |
2,420 |
$146K |
| E2402 |
Neg press wound therapy pump |
124 |
116 |
$145K |
| E0143 |
Walker folding wheeled w/o s |
2,571 |
2,516 |
$126K |
| E0431 |
Portable gaseous 02 |
7,639 |
7,360 |
$126K |
| A7034 |
Nasal application device |
1,908 |
1,852 |
$115K |
| E0470 |
Rad w/o backup non-inv intfc |
525 |
514 |
$100K |
| E1392 |
Portable oxygen concentrator |
3,003 |
2,842 |
$74K |
| K0738 |
Portable gas oxygen system |
3,489 |
3,382 |
$73K |
| A7030 |
Cpap full face mask |
849 |
821 |
$61K |
| A7035 |
Pos airway press headgear |
2,529 |
2,451 |
$57K |
| A7037 |
Pos airway pressure tubing |
2,486 |
2,423 |
$48K |
| E0260 |
Hosp bed semi-electr w/ matt |
996 |
971 |
$43K |
| E0570 |
Nebulizer with compression |
2,011 |
1,986 |
$39K |
| A7032 |
Replacement nasal cushion |
849 |
825 |
$38K |
| A7038 |
Pos airway pressure filter |
4,095 |
3,965 |
$37K |
| K0007 |
Extra heavy duty wheelchair |
306 |
305 |
$37K |
| E0295 |
Hosp bed semi-elect w/o matt |
355 |
353 |
$29K |
| A7031 |
Replacement facemask interfa |
609 |
591 |
$29K |
| E0630 |
Patient lift hydraulic |
999 |
910 |
$28K |
| E0471 |
Rad w/backup non inv intrfc |
90 |
89 |
$26K |
| E0163 |
Commode chair with fixed arm |
465 |
433 |
$22K |
| K0003 |
Lightweight wheelchair |
336 |
332 |
$15K |
| A4604 |
Tubing with heating element |
434 |
420 |
$14K |
| E0600 |
Suction pump portab hom modl |
406 |
359 |
$12K |
| A7046 |
Repl water chamber, pap dev |
1,001 |
969 |
$10K |
| A7033 |
Replacement nasal pillows |
241 |
226 |
$8K |
| E1038 |
Transport chair pt wt<=300lb |
527 |
501 |
$5K |
| A7000 |
Disposable canister for pump |
128 |
98 |
$4K |
| E0156 |
Walker seat attachment |
262 |
259 |
$4K |
| K0195 |
Elevating whlchair leg rests |
249 |
245 |
$4K |
| E0305 |
Rails bed side half length |
225 |
223 |
$3K |
| A7005 |
Nondisposable nebulizer set |
160 |
157 |
$3K |
| A7036 |
Pos airway press chinstrap |
273 |
262 |
$3K |
| E0271 |
Mattress innerspring |
152 |
151 |
$2K |
| A7039 |
Filter, non disposable w pap |
127 |
126 |
$1K |
| E1140 |
Wheelchair standard detach a |
13 |
12 |
$290.78 |
| A7013 |
Disposable compressor filter |
243 |
239 |
$152.70 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$17.83 |