| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,384 |
3,044 |
$980K |
| E1390 |
Oxygen concentrator |
8,504 |
7,633 |
$393K |
| K0738 |
Portable gas oxygen system |
4,957 |
4,520 |
$98K |
| E0465 |
Home vent invasive interface |
171 |
155 |
$69K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,521 |
1,293 |
$33K |
| E1392 |
Portable oxygen concentrator |
1,664 |
1,467 |
$31K |
| E0601 |
Cont airway pressure device |
1,131 |
1,027 |
$30K |
| E2611 |
Gen use back cush wdth <22in |
245 |
213 |
$24K |
| K0001 |
Standard wheelchair |
2,248 |
1,908 |
$22K |
| A7030 |
Cpap full face mask |
308 |
285 |
$17K |
| A7031 |
Replacement facemask interfa |
584 |
492 |
$14K |
| E0570 |
Nebulizer with compression |
1,223 |
1,119 |
$10K |
| E0185 |
Gel pressure mattress pad |
128 |
118 |
$10K |
| E0973 |
W/ch access det adj armrest |
286 |
143 |
$10K |
| E0630 |
Patient lift hydraulic |
497 |
422 |
$9K |
| E0971 |
Wheelchair anti-tipping devi |
402 |
200 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
284 |
251 |
$7K |
| E0431 |
Portable gaseous 02 |
872 |
749 |
$7K |
| E2601 |
Gen w/c cushion wdth < 22 in |
289 |
254 |
$7K |
| A4604 |
Tubing with heating element |
269 |
234 |
$6K |
| E0600 |
Suction pump portab hom modl |
243 |
217 |
$6K |
| E0562 |
Humidifier heated used w pap |
58 |
56 |
$6K |
| E0961 |
Wheelchair brake extension |
324 |
163 |
$6K |
| A7038 |
Pos airway pressure filter |
1,594 |
1,414 |
$6K |
| K0195 |
Elevating whlchair leg rests |
752 |
670 |
$5K |
| E0445 |
Oximeter non-invasive |
51 |
51 |
$5K |
| A7035 |
Pos airway press headgear |
344 |
312 |
$4K |
| A7034 |
Nasal application device |
127 |
112 |
$4K |
| E0163 |
Commode chair with fixed arm |
141 |
127 |
$4K |
| K0003 |
Lightweight wheelchair |
288 |
241 |
$3K |
| A7037 |
Pos airway pressure tubing |
285 |
262 |
$3K |
| A7526 |
Tracheostomy tube collar |
31 |
25 |
$2K |
| A7032 |
Replacement nasal cushion |
87 |
71 |
$2K |
| B4035 |
Enteral feed supp pump per d |
12 |
12 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
151 |
123 |
$1K |
| E0565 |
Compressor air power source |
52 |
48 |
$1K |
| B9002 |
Enter nutr inf pump any type |
43 |
43 |
$1K |
| A7046 |
Repl water chamber, pap dev |
154 |
139 |
$1K |
| A7033 |
Replacement nasal pillows |
45 |
39 |
$948.79 |
| A7000 |
Disposable canister for pump |
28 |
26 |
$637.77 |
| K0006 |
Heavy duty wheelchair |
14 |
14 |
$502.49 |
| A7002 |
Tubing used w suction pump |
14 |
13 |
$390.70 |
| E0156 |
Walker seat attachment |
30 |
27 |
$342.51 |
| E0165 |
Commode chair with detacharm |
31 |
25 |
$336.54 |
| E1038 |
Transport chair pt wt<=300lb |
84 |
68 |
$315.76 |
| A7039 |
Filter, non disposable w pap |
25 |
24 |
$88.90 |