| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
67,598 |
62,824 |
$5.94M |
| E0466 |
Home vent non-invasive inter |
5,164 |
4,861 |
$2.43M |
| E0431 |
Portable gaseous 02 |
51,293 |
47,844 |
$810K |
| E0143 |
Walker folding wheeled w/o s |
4,635 |
4,410 |
$322K |
| E1392 |
Portable oxygen concentrator |
9,247 |
8,472 |
$162K |
| E0601 |
Cont airway pressure device |
2,437 |
2,252 |
$121K |
| E0570 |
Nebulizer with compression |
5,977 |
5,803 |
$101K |
| E0114 |
Crutch underarm pair no wood |
3,299 |
3,119 |
$93K |
| E0562 |
Humidifier heated used w pap |
3,052 |
2,816 |
$52K |
| K0001 |
Standard wheelchair |
1,273 |
921 |
$49K |
| E0260 |
Hosp bed semi-electr w/ matt |
559 |
306 |
$40K |
| E0600 |
Suction pump portab hom modl |
1,832 |
1,622 |
$34K |
| E2402 |
Neg press wound therapy pump |
157 |
12 |
$13K |
| A4629 |
Tracheostomy care kit |
87 |
65 |
$8K |
| A7003 |
Nebulizer administration set |
2,207 |
1,996 |
$6K |
| E0565 |
Compressor air power source |
170 |
148 |
$4K |
| A4624 |
Tracheal suction tube |
35 |
25 |
$4K |
| A7035 |
Pos airway press headgear |
196 |
187 |
$4K |
| K0738 |
Portable gas oxygen system |
67 |
54 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
141 |
130 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,912 |
1,737 |
$2K |
| A7000 |
Disposable canister for pump |
299 |
226 |
$2K |
| A7038 |
Pos airway pressure filter |
468 |
438 |
$1K |
| A7037 |
Pos airway pressure tubing |
70 |
67 |
$1K |
| A7526 |
Tracheostomy tube collar |
107 |
76 |
$1K |
| A7046 |
Repl water chamber, pap dev |
64 |
62 |
$662.50 |
| A7002 |
Tubing used w suction pump |
236 |
149 |
$624.51 |
| A4628 |
Oropharyngeal suction cath |
60 |
41 |
$320.61 |
| A7013 |
Disposable compressor filter |
83 |
61 |
$38.19 |
| A7525 |
Tracheostomy mask |
16 |
12 |
$14.51 |