| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
4,109 |
3,765 |
$1.53M |
| E1390 |
Oxygen concentrator |
17,804 |
16,766 |
$791K |
| A7030 |
Cpap full face mask |
5,488 |
5,206 |
$345K |
| A7031 |
Replacement facemask interfa |
9,667 |
9,249 |
$293K |
| E0601 |
Cont airway pressure device |
7,753 |
7,435 |
$258K |
| A7032 |
Replacement nasal cushion |
3,107 |
3,000 |
$100K |
| E0431 |
Portable gaseous 02 |
12,809 |
12,028 |
$97K |
| E0562 |
Humidifier heated used w pap |
8,348 |
8,018 |
$92K |
| A7034 |
Nasal application device |
2,195 |
2,104 |
$87K |
| A7037 |
Pos airway pressure tubing |
7,374 |
7,030 |
$77K |
| A7035 |
Pos airway press headgear |
4,475 |
4,261 |
$60K |
| A7038 |
Pos airway pressure filter |
14,994 |
14,357 |
$55K |
| E0570 |
Nebulizer with compression |
5,536 |
5,208 |
$50K |
| K0003 |
Lightweight wheelchair |
3,398 |
3,103 |
$46K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,664 |
1,525 |
$34K |
| A7046 |
Repl water chamber, pap dev |
3,320 |
3,179 |
$26K |
| E0443 |
Portable 02 contents, gas |
1,069 |
971 |
$16K |
| A7033 |
Replacement nasal pillows |
618 |
610 |
$15K |
| K0001 |
Standard wheelchair |
1,373 |
1,273 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
288 |
261 |
$6K |
| A7003 |
Nebulizer administration set |
4,368 |
3,996 |
$5K |
| K0195 |
Elevating whlchair leg rests |
738 |
677 |
$5K |
| A7039 |
Filter, non disposable w pap |
493 |
485 |
$2K |
| E0630 |
Patient lift hydraulic |
94 |
90 |
$2K |
| E0163 |
Commode chair with fixed arm |
17 |
12 |
$188.66 |
| E0156 |
Walker seat attachment |
12 |
12 |
$78.75 |
| A7013 |
Disposable compressor filter |
214 |
203 |
$69.37 |
| A7014 |
Compressor nondispos filter |
27 |
26 |
$60.84 |
| E0971 |
Wheelchair anti-tipping devi |
12 |
12 |
$13.60 |
| A4604 |
Tubing with heating element |
132 |
110 |
$0.00 |