| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,859 |
17,845 |
$904K |
| E0601 |
Cont airway pressure device |
13,822 |
11,932 |
$478K |
| E0470 |
Rad w/o backup non-inv intfc |
2,616 |
2,319 |
$236K |
| E0431 |
Portable gaseous 02 |
20,089 |
14,643 |
$170K |
| K0001 |
Standard wheelchair |
12,457 |
9,816 |
$117K |
| E0570 |
Nebulizer with compression |
6,652 |
4,611 |
$88K |
| E0260 |
Hosp bed semi-electr w/ matt |
8,232 |
5,621 |
$83K |
| E0562 |
Humidifier heated used w pap |
10,085 |
9,582 |
$77K |
| E0445 |
Oximeter non-invasive |
720 |
685 |
$47K |
| B4035 |
Enteral feed supp pump per d |
206 |
187 |
$35K |
| B9002 |
Enter nutr inf pump any type |
492 |
450 |
$32K |
| E0143 |
Walker folding wheeled w/o s |
994 |
901 |
$28K |
| K0195 |
Elevating whlchair leg rests |
6,604 |
5,311 |
$26K |
| E0163 |
Commode chair with fixed arm |
1,486 |
1,060 |
$20K |
| E0471 |
Rad w/backup non inv intrfc |
67 |
63 |
$19K |
| E0630 |
Patient lift hydraulic |
2,076 |
1,494 |
$18K |
| E0619 |
Apnea monitor w recorder |
191 |
149 |
$15K |
| E1392 |
Portable oxygen concentrator |
2,241 |
1,419 |
$14K |
| K0003 |
Lightweight wheelchair |
1,584 |
1,205 |
$14K |
| E0141 |
Rigid wheeled walker adj/fix |
1,092 |
653 |
$12K |
| E0600 |
Suction pump portab hom modl |
859 |
690 |
$10K |
| A7034 |
Nasal application device |
2,417 |
1,708 |
$9K |
| A7013 |
Disposable compressor filter |
1,188 |
1,007 |
$9K |
| A7030 |
Cpap full face mask |
2,065 |
1,546 |
$9K |
| A7003 |
Nebulizer administration set |
1,765 |
1,524 |
$6K |
| A7037 |
Pos airway pressure tubing |
3,276 |
2,384 |
$5K |
| K0007 |
Extra heavy duty wheelchair |
173 |
119 |
$5K |
| A7031 |
Replacement facemask interfa |
2,278 |
1,619 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
611 |
374 |
$3K |
| E1038 |
Transport chair pt wt<=300lb |
2,787 |
2,049 |
$2K |
| A7038 |
Pos airway pressure filter |
4,637 |
3,345 |
$1K |
| E0978 |
W/c acc,saf belt pelv strap |
82 |
64 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
1,207 |
1,046 |
$1K |
| A7035 |
Pos airway press headgear |
2,888 |
2,112 |
$907.30 |
| A7046 |
Repl water chamber, pap dev |
1,462 |
1,062 |
$816.86 |
| A7033 |
Replacement nasal pillows |
672 |
429 |
$711.80 |
| A4604 |
Tubing with heating element |
797 |
581 |
$682.45 |
| A7032 |
Replacement nasal cushion |
764 |
523 |
$633.06 |
| E2601 |
Gen w/c cushion wdth < 22 in |
83 |
72 |
$569.27 |
| E0255 |
Hospital bed var ht w/ mattr |
57 |
54 |
$538.12 |
| E2611 |
Gen use back cush wdth <22in |
31 |
24 |
$419.98 |
| E0156 |
Walker seat attachment |
296 |
252 |
$346.32 |
| E0277 |
Powered pres-redu air mattrs |
167 |
122 |
$274.68 |
| E0185 |
Gel pressure mattress pad |
32 |
27 |
$135.84 |