| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,182 |
5,770 |
$408K |
| E0601 |
Cont airway pressure device |
2,109 |
1,999 |
$163K |
| A7030 |
Cpap full face mask |
982 |
912 |
$87K |
| A4604 |
Tubing with heating element |
1,947 |
1,825 |
$64K |
| E0570 |
Nebulizer with compression |
2,323 |
2,040 |
$58K |
| A7035 |
Pos airway press headgear |
1,810 |
1,695 |
$38K |
| A7034 |
Nasal application device |
609 |
580 |
$37K |
| E0431 |
Portable gaseous 02 |
2,434 |
2,281 |
$29K |
| E0294 |
Hosp bed semi-elect w/ mattr |
779 |
759 |
$23K |
| A7038 |
Pos airway pressure filter |
2,990 |
2,812 |
$20K |
| K0001 |
Standard wheelchair |
1,142 |
1,007 |
$16K |
| A7031 |
Replacement facemask interfa |
469 |
429 |
$16K |
| E1392 |
Portable oxygen concentrator |
675 |
619 |
$12K |
| E0143 |
Walker folding wheeled w/o s |
277 |
247 |
$10K |
| A7046 |
Repl water chamber, pap dev |
816 |
771 |
$9K |
| E0562 |
Humidifier heated used w pap |
45 |
43 |
$7K |
| A7005 |
Nondisposable nebulizer set |
257 |
249 |
$5K |
| A4927 |
Non-sterile gloves |
489 |
404 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
384 |
381 |
$4K |
| K0738 |
Portable gas oxygen system |
161 |
136 |
$3K |
| A7039 |
Filter, non disposable w pap |
370 |
343 |
$3K |
| E0603 |
Electric breast pump |
24 |
24 |
$2K |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$444.41 |
| E0156 |
Walker seat attachment |
14 |
12 |
$145.23 |
| A7003 |
Nebulizer administration set |
69 |
67 |
$33.23 |