| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
16,428 |
15,670 |
$1.26M |
| E0601 |
Cont airway pressure device |
31,233 |
29,913 |
$1.09M |
| E1390 |
Oxygen concentrator |
17,860 |
16,727 |
$949K |
| E0466 |
Home vent non-invasive inter |
1,733 |
1,567 |
$788K |
| A4604 |
Tubing with heating element |
17,744 |
16,935 |
$585K |
| A7031 |
Replacement facemask interfa |
16,220 |
14,539 |
$488K |
| E0562 |
Humidifier heated used w pap |
10,699 |
10,079 |
$359K |
| A7038 |
Pos airway pressure filter |
25,374 |
24,135 |
$277K |
| A7034 |
Nasal application device |
6,891 |
6,575 |
$260K |
| A7035 |
Pos airway press headgear |
14,564 |
13,930 |
$241K |
| A7032 |
Replacement nasal cushion |
3,999 |
3,709 |
$197K |
| E0470 |
Rad w/o backup non-inv intfc |
2,115 |
2,018 |
$181K |
| A7033 |
Replacement nasal pillows |
2,247 |
2,058 |
$144K |
| E0431 |
Portable gaseous 02 |
12,320 |
11,530 |
$126K |
| A7037 |
Pos airway pressure tubing |
5,833 |
5,532 |
$91K |
| A7046 |
Repl water chamber, pap dev |
8,464 |
8,117 |
$85K |
| E0570 |
Nebulizer with compression |
3,177 |
3,033 |
$58K |
| A7039 |
Filter, non disposable w pap |
7,602 |
7,234 |
$57K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,736 |
1,572 |
$53K |
| E0143 |
Walker folding wheeled w/o s |
1,123 |
1,060 |
$50K |
| K0003 |
Lightweight wheelchair |
1,616 |
1,474 |
$47K |
| E2402 |
Neg press wound therapy pump |
72 |
67 |
$41K |
| E0163 |
Commode chair with fixed arm |
625 |
590 |
$31K |
| E1392 |
Portable oxygen concentrator |
1,342 |
1,273 |
$18K |
| K0195 |
Elevating whlchair leg rests |
930 |
852 |
$8K |
| A6550 |
Neg pres wound ther drsg set |
15 |
13 |
$2K |
| K0001 |
Standard wheelchair |
54 |
51 |
$1K |
| A7003 |
Nebulizer administration set |
751 |
713 |
$1K |
| A9279 |
Monitoring feature/devicenoc |
1,190 |
993 |
$747.00 |
| E0630 |
Patient lift hydraulic |
26 |
25 |
$659.74 |
| A7000 |
Disposable canister for pump |
16 |
15 |
$410.80 |
| A7013 |
Disposable compressor filter |
502 |
476 |
$195.43 |
| A7005 |
Nondisposable nebulizer set |
14 |
12 |
$140.47 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$98.78 |