| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,038 |
956 |
$50K |
| E0601 |
Cont airway pressure device |
456 |
420 |
$33K |
| E0294 |
Hosp bed semi-elect w/ mattr |
574 |
562 |
$20K |
| K0001 |
Standard wheelchair |
1,193 |
1,146 |
$13K |
| E0562 |
Humidifier heated used w pap |
378 |
355 |
$13K |
| A7030 |
Cpap full face mask |
134 |
125 |
$11K |
| E0630 |
Patient lift hydraulic |
394 |
376 |
$11K |
| A4604 |
Tubing with heating element |
318 |
300 |
$9K |
| E0431 |
Portable gaseous 02 |
777 |
720 |
$8K |
| A7034 |
Nasal application device |
140 |
130 |
$7K |
| A7035 |
Pos airway press headgear |
226 |
210 |
$4K |
| E1392 |
Portable oxygen concentrator |
191 |
188 |
$4K |
| A7031 |
Replacement facemask interfa |
96 |
89 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
92 |
91 |
$3K |
| A7038 |
Pos airway pressure filter |
427 |
392 |
$3K |
| E0570 |
Nebulizer with compression |
160 |
152 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
155 |
155 |
$2K |
| E0181 |
Press pad alternating w/ pum |
114 |
109 |
$1K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
88 |
77 |
$856.35 |
| A7046 |
Repl water chamber, pap dev |
75 |
69 |
$688.90 |
| A7033 |
Replacement nasal pillows |
15 |
12 |
$576.89 |
| E0156 |
Walker seat attachment |
65 |
64 |
$526.51 |