| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,425 |
3,384 |
$2.24M |
| E1390 |
Oxygen concentrator |
31,045 |
30,569 |
$2.00M |
| K0738 |
Portable gas oxygen system |
13,678 |
13,491 |
$319K |
| K0001 |
Standard wheelchair |
10,264 |
10,025 |
$305K |
| E0601 |
Cont airway pressure device |
6,104 |
6,063 |
$246K |
| E0143 |
Walker folding wheeled w/o s |
3,901 |
3,840 |
$184K |
| E0431 |
Portable gaseous 02 |
9,649 |
9,467 |
$151K |
| E0470 |
Rad w/o backup non-inv intfc |
1,220 |
1,204 |
$137K |
| E0562 |
Humidifier heated used w pap |
2,054 |
2,003 |
$112K |
| A7034 |
Nasal application device |
1,938 |
1,919 |
$94K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,903 |
2,866 |
$83K |
| E0570 |
Nebulizer with compression |
4,494 |
4,466 |
$72K |
| A7030 |
Cpap full face mask |
1,388 |
1,377 |
$70K |
| K0007 |
Extra heavy duty wheelchair |
663 |
657 |
$68K |
| K0003 |
Lightweight wheelchair |
1,488 |
1,450 |
$59K |
| E0630 |
Patient lift hydraulic |
2,052 |
2,022 |
$55K |
| E0295 |
Hosp bed semi-elect w/o matt |
1,038 |
1,019 |
$53K |
| A7035 |
Pos airway press headgear |
2,972 |
2,945 |
$52K |
| E0163 |
Commode chair with fixed arm |
916 |
911 |
$48K |
| A7037 |
Pos airway pressure tubing |
2,383 |
2,361 |
$38K |
| A7031 |
Replacement facemask interfa |
968 |
959 |
$35K |
| A7032 |
Replacement nasal cushion |
988 |
975 |
$34K |
| A7038 |
Pos airway pressure filter |
4,456 |
4,417 |
$33K |
| A4604 |
Tubing with heating element |
1,014 |
1,006 |
$24K |
| E0240 |
Bath/shower chair |
194 |
193 |
$22K |
| E1392 |
Portable oxygen concentrator |
780 |
773 |
$18K |
| A7046 |
Repl water chamber, pap dev |
1,793 |
1,784 |
$15K |
| A7005 |
Nondisposable nebulizer set |
730 |
715 |
$12K |
| E0600 |
Suction pump portab hom modl |
476 |
457 |
$12K |
| K0195 |
Elevating whlchair leg rests |
439 |
434 |
$7K |
| E0471 |
Rad w/backup non inv intrfc |
26 |
25 |
$6K |
| E0305 |
Rails bed side half length |
674 |
663 |
$6K |
| E0271 |
Mattress innerspring |
370 |
367 |
$5K |
| E0247 |
Trans bench w/wo comm open |
51 |
51 |
$3K |
| E0156 |
Walker seat attachment |
186 |
185 |
$2K |
| A7000 |
Disposable canister for pump |
58 |
49 |
$1K |
| E0424 |
Stationary compressed gas 02 |
13 |
12 |
$882.45 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$320.98 |
| A7013 |
Disposable compressor filter |
630 |
626 |
$319.36 |
| A7039 |
Filter, non disposable w pap |
29 |
29 |
$217.47 |
| E0730 |
Tens four lead |
12 |
12 |
$215.63 |