| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,557 |
14,519 |
$607K |
| E0466 |
Home vent non-invasive inter |
642 |
641 |
$137K |
| K0001 |
Standard wheelchair |
5,402 |
5,396 |
$118K |
| E0601 |
Cont airway pressure device |
3,859 |
3,846 |
$68K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,584 |
1,582 |
$65K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,178 |
2,171 |
$60K |
| A7030 |
Cpap full face mask |
2,573 |
2,569 |
$47K |
| K0738 |
Portable gas oxygen system |
3,061 |
3,054 |
$46K |
| E0431 |
Portable gaseous 02 |
4,291 |
4,278 |
$45K |
| E1392 |
Portable oxygen concentrator |
4,756 |
4,737 |
$40K |
| E0570 |
Nebulizer with compression |
2,884 |
2,872 |
$36K |
| A7031 |
Replacement facemask interfa |
2,953 |
2,898 |
$34K |
| A7034 |
Nasal application device |
2,434 |
2,433 |
$32K |
| E0143 |
Walker folding wheeled w/o s |
772 |
767 |
$31K |
| A7032 |
Replacement nasal cushion |
1,496 |
1,487 |
$22K |
| E0971 |
Wheelchair anti-tipping devi |
907 |
477 |
$22K |
| E0470 |
Rad w/o backup non-inv intfc |
536 |
536 |
$22K |
| A4604 |
Tubing with heating element |
3,998 |
3,992 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,159 |
1,158 |
$19K |
| K0007 |
Extra heavy duty wheelchair |
178 |
178 |
$17K |
| A7035 |
Pos airway press headgear |
2,942 |
2,940 |
$15K |
| K0195 |
Elevating whlchair leg rests |
1,499 |
1,498 |
$15K |
| E2601 |
Gen w/c cushion wdth < 22 in |
355 |
352 |
$11K |
| A7038 |
Pos airway pressure filter |
5,737 |
5,722 |
$10K |
| E0630 |
Patient lift hydraulic |
226 |
226 |
$10K |
| A7033 |
Replacement nasal pillows |
923 |
919 |
$9K |
| E0600 |
Suction pump portab hom modl |
318 |
318 |
$9K |
| K0006 |
Heavy duty wheelchair |
146 |
146 |
$8K |
| A7046 |
Repl water chamber, pap dev |
2,135 |
2,133 |
$6K |
| E0951 |
Loop heel |
574 |
294 |
$6K |
| A7037 |
Pos airway pressure tubing |
614 |
613 |
$5K |
| K0003 |
Lightweight wheelchair |
233 |
233 |
$4K |
| E0156 |
Walker seat attachment |
56 |
52 |
$192.50 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$144.13 |
| A7003 |
Nebulizer administration set |
68 |
68 |
$131.42 |
| A7015 |
Aerosol mask used w nebulize |
56 |
56 |
$72.71 |
| A7002 |
Tubing used w suction pump |
12 |
12 |
$39.46 |
| A7013 |
Disposable compressor filter |
60 |
60 |
$34.40 |