| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,196 |
18,888 |
$1.33M |
| E0601 |
Cont airway pressure device |
7,948 |
7,750 |
$333K |
| E1392 |
Portable oxygen concentrator |
20,688 |
19,492 |
$236K |
| A7030 |
Cpap full face mask |
2,204 |
2,046 |
$164K |
| E0143 |
Walker folding wheeled w/o s |
3,663 |
3,522 |
$150K |
| E0562 |
Humidifier heated used w pap |
1,335 |
1,255 |
$128K |
| E0570 |
Nebulizer with compression |
1,731 |
1,615 |
$101K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,650 |
2,543 |
$89K |
| A4604 |
Tubing with heating element |
3,493 |
3,275 |
$79K |
| A7031 |
Replacement facemask interfa |
3,035 |
2,610 |
$78K |
| A7034 |
Nasal application device |
2,158 |
2,043 |
$72K |
| A7032 |
Replacement nasal cushion |
1,687 |
1,449 |
$56K |
| E0470 |
Rad w/o backup non-inv intfc |
753 |
690 |
$39K |
| A7035 |
Pos airway press headgear |
2,833 |
2,644 |
$35K |
| K0001 |
Standard wheelchair |
2,791 |
2,625 |
$34K |
| A7038 |
Pos airway pressure filter |
8,138 |
6,989 |
$31K |
| K0003 |
Lightweight wheelchair |
896 |
872 |
$21K |
| E0431 |
Portable gaseous 02 |
1,340 |
1,245 |
$17K |
| E0630 |
Patient lift hydraulic |
444 |
426 |
$14K |
| K0006 |
Heavy duty wheelchair |
370 |
359 |
$12K |
| E0471 |
Rad w/backup non inv intrfc |
75 |
62 |
$12K |
| A7033 |
Replacement nasal pillows |
546 |
442 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,634 |
1,527 |
$10K |
| A7037 |
Pos airway pressure tubing |
653 |
604 |
$7K |
| E0163 |
Commode chair with fixed arm |
248 |
236 |
$6K |
| K0195 |
Elevating whlchair leg rests |
783 |
720 |
$3K |
| E1038 |
Transport chair pt wt<=300lb |
326 |
305 |
$1K |
| E0978 |
W/c acc,saf belt pelv strap |
312 |
301 |
$561.80 |
| E0961 |
Wheelchair brake extension |
181 |
180 |
$207.24 |
| E0971 |
Wheelchair anti-tipping devi |
69 |
65 |
$154.46 |
| A7003 |
Nebulizer administration set |
44 |
43 |
$58.47 |