| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,559 |
16,188 |
$1.33M |
| E0466 |
Home vent non-invasive inter |
767 |
756 |
$623K |
| E0601 |
Cont airway pressure device |
5,014 |
4,944 |
$213K |
| E0470 |
Rad w/o backup non-inv intfc |
1,089 |
1,075 |
$145K |
| K0738 |
Portable gas oxygen system |
4,827 |
4,730 |
$132K |
| E0431 |
Portable gaseous 02 |
6,854 |
6,592 |
$121K |
| K0001 |
Standard wheelchair |
4,243 |
4,183 |
$121K |
| E0143 |
Walker folding wheeled w/o s |
2,037 |
2,007 |
$105K |
| E0562 |
Humidifier heated used w pap |
2,240 |
2,175 |
$87K |
| A7034 |
Nasal application device |
1,283 |
1,261 |
$71K |
| A7030 |
Cpap full face mask |
1,118 |
1,101 |
$63K |
| A7037 |
Pos airway pressure tubing |
2,012 |
1,979 |
$49K |
| A7035 |
Pos airway press headgear |
2,104 |
2,063 |
$44K |
| E0570 |
Nebulizer with compression |
1,837 |
1,821 |
$36K |
| A7038 |
Pos airway pressure filter |
3,056 |
2,994 |
$33K |
| E0260 |
Hosp bed semi-electr w/ matt |
759 |
751 |
$28K |
| A7031 |
Replacement facemask interfa |
540 |
523 |
$26K |
| A7032 |
Replacement nasal cushion |
332 |
326 |
$17K |
| E0730 |
Tens four lead |
492 |
492 |
$11K |
| A7046 |
Repl water chamber, pap dev |
893 |
881 |
$9K |
| A7005 |
Nondisposable nebulizer set |
385 |
351 |
$8K |
| E0630 |
Patient lift hydraulic |
271 |
268 |
$7K |
| E0163 |
Commode chair with fixed arm |
102 |
98 |
$6K |
| A4604 |
Tubing with heating element |
219 |
215 |
$4K |
| K0007 |
Extra heavy duty wheelchair |
25 |
25 |
$2K |
| E1392 |
Portable oxygen concentrator |
113 |
112 |
$1K |
| A7033 |
Replacement nasal pillows |
36 |
36 |
$1K |
| A7003 |
Nebulizer administration set |
118 |
105 |
$235.41 |
| A7013 |
Disposable compressor filter |
220 |
202 |
$135.75 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$92.34 |
| A7015 |
Aerosol mask used w nebulize |
25 |
20 |
$28.60 |