| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,189 |
11,167 |
$902K |
| E0601 |
Cont airway pressure device |
3,515 |
3,491 |
$255K |
| K0738 |
Portable gas oxygen system |
6,845 |
6,831 |
$145K |
| E0562 |
Humidifier heated used w pap |
626 |
626 |
$98K |
| K0001 |
Standard wheelchair |
2,638 |
2,633 |
$78K |
| E0570 |
Nebulizer with compression |
3,560 |
3,548 |
$63K |
| E0295 |
Hosp bed semi-elect w/o matt |
564 |
564 |
$57K |
| A7034 |
Nasal application device |
1,031 |
1,031 |
$49K |
| E0470 |
Rad w/o backup non-inv intfc |
196 |
196 |
$48K |
| A4604 |
Tubing with heating element |
1,738 |
1,738 |
$45K |
| A7033 |
Replacement nasal pillows |
1,183 |
1,173 |
$38K |
| A7038 |
Pos airway pressure filter |
5,105 |
5,102 |
$35K |
| A7032 |
Replacement nasal cushion |
1,049 |
1,046 |
$35K |
| A7035 |
Pos airway press headgear |
1,854 |
1,852 |
$29K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,088 |
1,088 |
$22K |
| A7030 |
Cpap full face mask |
661 |
661 |
$18K |
| A7031 |
Replacement facemask interfa |
490 |
483 |
$16K |
| E1392 |
Portable oxygen concentrator |
454 |
453 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,012 |
1,010 |
$9K |
| A7005 |
Nondisposable nebulizer set |
429 |
428 |
$7K |
| E0310 |
Rails bed side full length |
289 |
289 |
$6K |
| K0195 |
Elevating whlchair leg rests |
424 |
424 |
$5K |
| E0630 |
Patient lift hydraulic |
192 |
192 |
$4K |
| E0431 |
Portable gaseous 02 |
111 |
111 |
$2K |
| E0271 |
Mattress innerspring |
78 |
77 |
$1K |
| E0245 |
Tub stool or bench |
13 |
13 |
$715.91 |
| A7036 |
Pos airway press chinstrap |
54 |
54 |
$476.79 |
| E0910 |
Trapeze bar attached to bed |
38 |
38 |
$277.61 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$179.24 |