| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
29,538 |
26,689 |
$1.41M |
| E0466 |
Home vent non-invasive inter |
1,691 |
1,598 |
$772K |
| K0738 |
Portable gas oxygen system |
13,298 |
12,088 |
$319K |
| E0424 |
Stationary compressed gas 02 |
2,625 |
2,535 |
$174K |
| E0431 |
Portable gaseous 02 |
9,494 |
8,939 |
$132K |
| E0601 |
Cont airway pressure device |
1,611 |
1,408 |
$37K |
| E0562 |
Humidifier heated used w pap |
387 |
309 |
$36K |
| E0600 |
Suction pump portab hom modl |
847 |
775 |
$31K |
| A7030 |
Cpap full face mask |
892 |
660 |
$22K |
| E0439 |
Stationary liquid 02 |
527 |
487 |
$21K |
| E0143 |
Walker folding wheeled w/o s |
685 |
588 |
$20K |
| E0441 |
Stationary o2 contents, gas |
787 |
539 |
$20K |
| E0434 |
Portable liquid 02 |
1,640 |
1,462 |
$18K |
| A7037 |
Pos airway pressure tubing |
1,177 |
969 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,239 |
1,139 |
$11K |
| A7034 |
Nasal application device |
816 |
569 |
$10K |
| A7031 |
Replacement facemask interfa |
580 |
423 |
$8K |
| A7035 |
Pos airway press headgear |
1,170 |
865 |
$6K |
| E0570 |
Nebulizer with compression |
302 |
267 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
88 |
74 |
$4K |
| A7046 |
Repl water chamber, pap dev |
914 |
625 |
$4K |
| K0001 |
Standard wheelchair |
699 |
577 |
$3K |
| A7038 |
Pos airway pressure filter |
1,804 |
1,046 |
$3K |
| E0156 |
Walker seat attachment |
215 |
180 |
$2K |
| A4604 |
Tubing with heating element |
125 |
89 |
$1K |
| E0114 |
Crutch underarm pair no wood |
31 |
29 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
69 |
57 |
$1K |
| A7005 |
Nondisposable nebulizer set |
114 |
89 |
$1K |
| A7033 |
Replacement nasal pillows |
151 |
88 |
$1K |
| A7032 |
Replacement nasal cushion |
122 |
84 |
$1K |
| E0245 |
Tub stool or bench |
22 |
13 |
$295.96 |
| A7013 |
Disposable compressor filter |
39 |
27 |
$11.97 |
| A7003 |
Nebulizer administration set |
27 |
18 |
$2.18 |