| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,878 |
3,660 |
$210K |
| A7030 |
Cpap full face mask |
2,369 |
2,181 |
$169K |
| E1390 |
Oxygen concentrator |
3,941 |
3,636 |
$144K |
| A7031 |
Replacement facemask interfa |
1,992 |
1,747 |
$53K |
| A7037 |
Pos airway pressure tubing |
3,051 |
2,823 |
$50K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,062 |
1,025 |
$31K |
| A7035 |
Pos airway press headgear |
1,964 |
1,808 |
$30K |
| E0562 |
Humidifier heated used w pap |
463 |
416 |
$28K |
| K0001 |
Standard wheelchair |
2,483 |
2,316 |
$25K |
| E0570 |
Nebulizer with compression |
1,611 |
1,509 |
$24K |
| K0195 |
Elevating whlchair leg rests |
2,751 |
2,523 |
$16K |
| A7038 |
Pos airway pressure filter |
3,581 |
3,161 |
$15K |
| A7034 |
Nasal application device |
249 |
231 |
$11K |
| E0431 |
Portable gaseous 02 |
2,232 |
2,040 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,576 |
1,459 |
$9K |
| E2402 |
Neg press wound therapy pump |
18 |
12 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
38 |
36 |
$6K |
| K0003 |
Lightweight wheelchair |
142 |
141 |
$4K |
| E0261 |
Hosp bed semi-electr w/o mat |
170 |
154 |
$3K |
| A7032 |
Replacement nasal cushion |
64 |
57 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
38 |
37 |
$924.78 |
| A7003 |
Nebulizer administration set |
341 |
322 |
$892.35 |
| E0630 |
Patient lift hydraulic |
49 |
48 |
$712.39 |
| E1392 |
Portable oxygen concentrator |
56 |
55 |
$350.31 |
| E0181 |
Press pad alternating w/ pum |
38 |
37 |
$204.58 |
| E0163 |
Commode chair with fixed arm |
14 |
12 |
$184.41 |
| A7046 |
Repl water chamber, pap dev |
28 |
25 |
$181.84 |
| A9279 |
Monitoring feature/devicenoc |
198 |
175 |
$8.00 |
| K0816 |
Pwc gp 1 std cap chair |
25 |
25 |
$0.00 |