| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,090 |
10,888 |
$483K |
| E0601 |
Cont airway pressure device |
10,502 |
8,721 |
$326K |
| A7030 |
Cpap full face mask |
3,971 |
3,132 |
$188K |
| A7031 |
Replacement facemask interfa |
5,247 |
4,199 |
$155K |
| A4604 |
Tubing with heating element |
6,282 |
5,055 |
$127K |
| E0470 |
Rad w/o backup non-inv intfc |
1,730 |
1,480 |
$105K |
| A7034 |
Nasal application device |
3,030 |
2,462 |
$96K |
| E0562 |
Humidifier heated used w pap |
4,893 |
4,221 |
$95K |
| E1392 |
Portable oxygen concentrator |
5,102 |
3,888 |
$65K |
| A7032 |
Replacement nasal cushion |
1,909 |
1,622 |
$61K |
| E0143 |
Walker folding wheeled w/o s |
1,765 |
1,424 |
$57K |
| A7033 |
Replacement nasal pillows |
1,768 |
1,451 |
$43K |
| A7035 |
Pos airway press headgear |
4,163 |
3,334 |
$43K |
| A7038 |
Pos airway pressure filter |
10,461 |
8,330 |
$36K |
| K0738 |
Portable gas oxygen system |
2,602 |
1,960 |
$34K |
| E0570 |
Nebulizer with compression |
3,305 |
2,554 |
$33K |
| E0431 |
Portable gaseous 02 |
4,085 |
3,266 |
$30K |
| A7046 |
Repl water chamber, pap dev |
2,748 |
2,219 |
$18K |
| E1140 |
Wheelchair standard detach a |
426 |
381 |
$18K |
| A4239 |
Non-adju cgm supply allow |
463 |
269 |
$18K |
| E0466 |
Home vent non-invasive inter |
16 |
12 |
$4K |
| A7005 |
Nondisposable nebulizer set |
312 |
260 |
$3K |
| A7037 |
Pos airway pressure tubing |
346 |
283 |
$3K |
| E0114 |
Crutch underarm pair no wood |
115 |
90 |
$3K |
| E1222 |
Wheelchair spec size w/ leg |
155 |
147 |
$1K |
| A7039 |
Filter, non disposable w pap |
296 |
224 |
$1K |
| E0149 |
Heavy duty wheeled walker |
17 |
14 |
$723.76 |
| E0156 |
Walker seat attachment |
31 |
24 |
$148.83 |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
12 |
$114.00 |
| K0001 |
Standard wheelchair |
203 |
181 |
$71.34 |
| A7003 |
Nebulizer administration set |
100 |
86 |
$43.64 |