| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,211 |
11,240 |
$621K |
| E0466 |
Home vent non-invasive inter |
582 |
489 |
$309K |
| E0601 |
Cont airway pressure device |
6,018 |
5,585 |
$259K |
| E0431 |
Portable gaseous 02 |
5,988 |
5,304 |
$182K |
| E0470 |
Rad w/o backup non-inv intfc |
969 |
891 |
$101K |
| E0445 |
Oximeter non-invasive |
785 |
759 |
$70K |
| K0001 |
Standard wheelchair |
3,404 |
3,106 |
$69K |
| E0562 |
Humidifier heated used w pap |
3,161 |
2,990 |
$50K |
| E1392 |
Portable oxygen concentrator |
3,325 |
2,768 |
$34K |
| A7030 |
Cpap full face mask |
634 |
538 |
$26K |
| E0260 |
Hosp bed semi-electr w/ matt |
877 |
687 |
$23K |
| E0570 |
Nebulizer with compression |
1,236 |
1,072 |
$21K |
| E0143 |
Walker folding wheeled w/o s |
582 |
513 |
$21K |
| E1399 |
Durable medical equipment mi |
1,022 |
284 |
$19K |
| A7037 |
Pos airway pressure tubing |
1,339 |
1,137 |
$15K |
| A7034 |
Nasal application device |
633 |
517 |
$14K |
| A7038 |
Pos airway pressure filter |
1,899 |
1,581 |
$13K |
| A7035 |
Pos airway press headgear |
1,023 |
863 |
$9K |
| A7031 |
Replacement facemask interfa |
456 |
389 |
$9K |
| K0738 |
Portable gas oxygen system |
839 |
711 |
$8K |
| E0600 |
Suction pump portab hom modl |
108 |
104 |
$3K |
| A7032 |
Replacement nasal cushion |
118 |
90 |
$3K |
| A7046 |
Repl water chamber, pap dev |
425 |
352 |
$2K |
| K0003 |
Lightweight wheelchair |
57 |
50 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
26 |
24 |
$2K |
| A4604 |
Tubing with heating element |
87 |
80 |
$2K |
| E0163 |
Commode chair with fixed arm |
16 |
13 |
$666.94 |
| A7005 |
Nondisposable nebulizer set |
76 |
68 |
$656.79 |
| E0156 |
Walker seat attachment |
139 |
115 |
$569.45 |
| A7013 |
Disposable compressor filter |
34 |
30 |
$277.45 |
| A7036 |
Pos airway press chinstrap |
18 |
12 |
$36.38 |
| A7003 |
Nebulizer administration set |
14 |
12 |
$17.07 |