| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,969 |
15,874 |
$668K |
| E0466 |
Home vent non-invasive inter |
1,081 |
1,052 |
$324K |
| E0431 |
Portable gaseous 02 |
11,842 |
11,746 |
$101K |
| E0601 |
Cont airway pressure device |
3,364 |
3,329 |
$62K |
| E0143 |
Walker folding wheeled w/o s |
1,209 |
1,204 |
$52K |
| E0470 |
Rad w/o backup non-inv intfc |
793 |
784 |
$46K |
| A7030 |
Cpap full face mask |
1,562 |
1,545 |
$42K |
| E0261 |
Hosp bed semi-electr w/o mat |
2,020 |
2,002 |
$32K |
| E1392 |
Portable oxygen concentrator |
1,810 |
1,789 |
$24K |
| E0562 |
Humidifier heated used w pap |
1,154 |
1,138 |
$20K |
| K0003 |
Lightweight wheelchair |
3,173 |
3,141 |
$18K |
| A7031 |
Replacement facemask interfa |
1,623 |
1,586 |
$16K |
| A7035 |
Pos airway press headgear |
1,302 |
1,285 |
$9K |
| E0570 |
Nebulizer with compression |
1,185 |
1,152 |
$8K |
| K0001 |
Standard wheelchair |
324 |
322 |
$8K |
| A4604 |
Tubing with heating element |
1,326 |
1,301 |
$8K |
| A7038 |
Pos airway pressure filter |
2,489 |
2,446 |
$5K |
| K0195 |
Elevating whlchair leg rests |
506 |
490 |
$5K |
| A7034 |
Nasal application device |
140 |
134 |
$3K |
| E0156 |
Walker seat attachment |
197 |
192 |
$2K |
| A7037 |
Pos airway pressure tubing |
183 |
180 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
261 |
260 |
$1K |
| A7046 |
Repl water chamber, pap dev |
320 |
313 |
$987.32 |
| A7039 |
Filter, non disposable w pap |
248 |
247 |
$375.18 |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$108.01 |