| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,888 |
1,708 |
$751K |
| E1390 |
Oxygen concentrator |
16,739 |
15,378 |
$675K |
| E0431 |
Portable gaseous 02 |
11,740 |
10,622 |
$108K |
| E0601 |
Cont airway pressure device |
3,478 |
3,146 |
$92K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,374 |
2,139 |
$59K |
| E0470 |
Rad w/o backup non-inv intfc |
574 |
513 |
$33K |
| E0570 |
Nebulizer with compression |
2,704 |
2,482 |
$32K |
| A7030 |
Cpap full face mask |
517 |
471 |
$23K |
| K0003 |
Lightweight wheelchair |
1,175 |
1,086 |
$20K |
| A4604 |
Tubing with heating element |
588 |
527 |
$13K |
| K0001 |
Standard wheelchair |
1,095 |
967 |
$12K |
| A7031 |
Replacement facemask interfa |
736 |
656 |
$12K |
| E0562 |
Humidifier heated used w pap |
194 |
172 |
$12K |
| E0143 |
Walker folding wheeled w/o s |
369 |
326 |
$11K |
| K0004 |
High strength ltwt whlchr |
320 |
276 |
$9K |
| A7038 |
Pos airway pressure filter |
2,141 |
1,773 |
$9K |
| K0823 |
Pwc gp 2 std cap chair |
106 |
92 |
$9K |
| A7035 |
Pos airway press headgear |
634 |
575 |
$7K |
| A7032 |
Replacement nasal cushion |
270 |
218 |
$5K |
| A7037 |
Pos airway pressure tubing |
312 |
204 |
$2K |
| E0973 |
W/ch access det adj armrest |
99 |
51 |
$2K |
| A7034 |
Nasal application device |
56 |
50 |
$1K |
| A7039 |
Filter, non disposable w pap |
109 |
80 |
$1K |
| E1392 |
Portable oxygen concentrator |
107 |
98 |
$814.01 |
| A7046 |
Repl water chamber, pap dev |
142 |
125 |
$773.93 |
| A7005 |
Nondisposable nebulizer set |
72 |
67 |
$712.42 |
| A7033 |
Replacement nasal pillows |
16 |
14 |
$287.81 |
| E0156 |
Walker seat attachment |
30 |
27 |
$246.36 |
| A4615 |
Cannula nasal |
14 |
12 |
$0.24 |