| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,460 |
12,240 |
$693K |
| E0466 |
Home vent non-invasive inter |
914 |
639 |
$305K |
| E0601 |
Cont airway pressure device |
6,819 |
5,180 |
$201K |
| E0431 |
Portable gaseous 02 |
11,482 |
8,723 |
$91K |
| A7030 |
Cpap full face mask |
2,014 |
1,513 |
$75K |
| E0562 |
Humidifier heated used w pap |
498 |
383 |
$37K |
| A7034 |
Nasal application device |
1,287 |
1,004 |
$28K |
| E0470 |
Rad w/o backup non-inv intfc |
373 |
295 |
$27K |
| A7031 |
Replacement facemask interfa |
1,440 |
1,062 |
$20K |
| E0570 |
Nebulizer with compression |
3,338 |
2,557 |
$19K |
| K0001 |
Standard wheelchair |
2,237 |
1,615 |
$18K |
| A7035 |
Pos airway press headgear |
2,192 |
1,686 |
$18K |
| A4604 |
Tubing with heating element |
1,931 |
1,518 |
$15K |
| K0003 |
Lightweight wheelchair |
1,059 |
723 |
$12K |
| A7037 |
Pos airway pressure tubing |
915 |
702 |
$10K |
| A7038 |
Pos airway pressure filter |
3,949 |
3,008 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
297 |
256 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
510 |
333 |
$6K |
| E1392 |
Portable oxygen concentrator |
407 |
302 |
$5K |
| E0261 |
Hosp bed semi-electr w/o mat |
400 |
262 |
$4K |
| K0195 |
Elevating whlchair leg rests |
1,073 |
771 |
$3K |
| A7032 |
Replacement nasal cushion |
259 |
204 |
$3K |
| A9279 |
Monitoring feature/devicenoc |
1,089 |
933 |
$2K |
| E0163 |
Commode chair with fixed arm |
67 |
56 |
$2K |
| A7046 |
Repl water chamber, pap dev |
610 |
491 |
$1K |
| E0156 |
Walker seat attachment |
13 |
12 |
$121.84 |
| A7003 |
Nebulizer administration set |
40 |
37 |
$92.30 |
| A7036 |
Pos airway press chinstrap |
16 |
12 |
$39.33 |
| A7013 |
Disposable compressor filter |
31 |
25 |
$26.17 |