| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,837 |
8,731 |
$680K |
| E0601 |
Cont airway pressure device |
10,431 |
7,493 |
$375K |
| A7030 |
Cpap full face mask |
5,606 |
4,128 |
$298K |
| A7031 |
Replacement facemask interfa |
6,296 |
4,291 |
$121K |
| E0562 |
Humidifier heated used w pap |
1,228 |
921 |
$118K |
| A7034 |
Nasal application device |
2,208 |
1,671 |
$72K |
| E0470 |
Rad w/o backup non-inv intfc |
1,291 |
944 |
$66K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,053 |
2,236 |
$64K |
| A7035 |
Pos airway press headgear |
4,684 |
3,568 |
$60K |
| E0431 |
Portable gaseous 02 |
6,447 |
4,730 |
$59K |
| A7037 |
Pos airway pressure tubing |
2,852 |
2,196 |
$54K |
| A4604 |
Tubing with heating element |
4,266 |
3,270 |
$35K |
| K0003 |
Lightweight wheelchair |
1,544 |
1,143 |
$35K |
| K0001 |
Standard wheelchair |
3,728 |
2,735 |
$34K |
| E0143 |
Walker folding wheeled w/o s |
957 |
786 |
$30K |
| E0570 |
Nebulizer with compression |
2,668 |
1,876 |
$29K |
| A7038 |
Pos airway pressure filter |
9,404 |
6,823 |
$25K |
| A7032 |
Replacement nasal cushion |
1,299 |
879 |
$25K |
| A4554 |
Disposable underpads |
316 |
268 |
$16K |
| E0630 |
Patient lift hydraulic |
690 |
492 |
$16K |
| K0002 |
Stnd hemi (low seat) whlchr |
591 |
430 |
$13K |
| K0195 |
Elevating whlchair leg rests |
2,359 |
1,747 |
$13K |
| E0163 |
Commode chair with fixed arm |
363 |
290 |
$12K |
| A7046 |
Repl water chamber, pap dev |
2,544 |
1,948 |
$10K |
| K0738 |
Portable gas oxygen system |
766 |
518 |
$10K |
| E1392 |
Portable oxygen concentrator |
581 |
439 |
$7K |
| B4035 |
Enteral feed supp pump per d |
49 |
39 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
552 |
267 |
$6K |
| E2601 |
Gen w/c cushion wdth < 22 in |
320 |
265 |
$6K |
| E2611 |
Gen use back cush wdth <22in |
57 |
43 |
$5K |
| A7033 |
Replacement nasal pillows |
475 |
341 |
$5K |
| K0006 |
Heavy duty wheelchair |
103 |
70 |
$2K |
| B9002 |
Enter nutr inf pump any type |
16 |
12 |
$2K |
| E0240 |
Bath/shower chair |
32 |
26 |
$1K |
| E0156 |
Walker seat attachment |
204 |
154 |
$1K |
| A7013 |
Disposable compressor filter |
55 |
40 |
$11.55 |