| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,744 |
7,113 |
$428K |
| A7030 |
Cpap full face mask |
1,349 |
1,168 |
$93K |
| E0601 |
Cont airway pressure device |
1,822 |
1,575 |
$78K |
| K0738 |
Portable gas oxygen system |
3,624 |
3,344 |
$55K |
| E0466 |
Home vent non-invasive inter |
157 |
142 |
$50K |
| A7031 |
Replacement facemask interfa |
1,516 |
1,292 |
$47K |
| E0470 |
Rad w/o backup non-inv intfc |
443 |
400 |
$31K |
| A4604 |
Tubing with heating element |
926 |
757 |
$30K |
| A7034 |
Nasal application device |
604 |
501 |
$27K |
| E0570 |
Nebulizer with compression |
1,834 |
1,510 |
$21K |
| E0431 |
Portable gaseous 02 |
2,074 |
1,934 |
$21K |
| A7032 |
Replacement nasal cushion |
446 |
347 |
$20K |
| E0143 |
Walker folding wheeled w/o s |
481 |
418 |
$20K |
| E0562 |
Humidifier heated used w pap |
303 |
250 |
$19K |
| K0003 |
Lightweight wheelchair |
388 |
328 |
$16K |
| A7035 |
Pos airway press headgear |
1,128 |
981 |
$14K |
| A7038 |
Pos airway pressure filter |
2,363 |
2,009 |
$11K |
| E0261 |
Hosp bed semi-electr w/o mat |
261 |
231 |
$11K |
| A7037 |
Pos airway pressure tubing |
1,048 |
932 |
$10K |
| E1392 |
Portable oxygen concentrator |
471 |
397 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
246 |
241 |
$7K |
| A7046 |
Repl water chamber, pap dev |
685 |
542 |
$7K |
| A7039 |
Filter, non disposable w pap |
1,044 |
900 |
$6K |
| E0163 |
Commode chair with fixed arm |
103 |
82 |
$4K |
| A7005 |
Nondisposable nebulizer set |
207 |
170 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
297 |
174 |
$3K |
| A7033 |
Replacement nasal pillows |
86 |
68 |
$3K |
| K0195 |
Elevating whlchair leg rests |
408 |
344 |
$2K |
| K0001 |
Standard wheelchair |
123 |
123 |
$1K |
| E0961 |
Wheelchair brake extension |
16 |
12 |
$28.74 |