| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,492 |
1,456 |
$834K |
| E1390 |
Oxygen concentrator |
7,612 |
7,225 |
$558K |
| E0601 |
Cont airway pressure device |
4,310 |
4,088 |
$249K |
| E0470 |
Rad w/o backup non-inv intfc |
368 |
354 |
$98K |
| E0562 |
Humidifier heated used w pap |
1,115 |
1,080 |
$87K |
| K0001 |
Standard wheelchair |
1,745 |
1,710 |
$59K |
| A7034 |
Nasal application device |
957 |
912 |
$56K |
| K0738 |
Portable gas oxygen system |
2,409 |
2,287 |
$50K |
| A7030 |
Cpap full face mask |
491 |
465 |
$42K |
| E0431 |
Portable gaseous 02 |
2,308 |
2,183 |
$39K |
| A7032 |
Replacement nasal cushion |
670 |
644 |
$35K |
| E1392 |
Portable oxygen concentrator |
1,318 |
1,244 |
$32K |
| A7038 |
Pos airway pressure filter |
3,047 |
2,927 |
$29K |
| A7035 |
Pos airway press headgear |
1,304 |
1,244 |
$26K |
| A4604 |
Tubing with heating element |
655 |
616 |
$22K |
| A7031 |
Replacement facemask interfa |
399 |
382 |
$18K |
| E0570 |
Nebulizer with compression |
772 |
758 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
345 |
344 |
$17K |
| A7037 |
Pos airway pressure tubing |
899 |
864 |
$16K |
| E0295 |
Hosp bed semi-elect w/o matt |
74 |
74 |
$6K |
| A7046 |
Repl water chamber, pap dev |
490 |
468 |
$5K |
| A7036 |
Pos airway press chinstrap |
397 |
376 |
$4K |
| E0630 |
Patient lift hydraulic |
122 |
115 |
$4K |
| A7033 |
Replacement nasal pillows |
89 |
84 |
$3K |
| E0163 |
Commode chair with fixed arm |
38 |
37 |
$2K |
| K0003 |
Lightweight wheelchair |
26 |
24 |
$1K |
| A7039 |
Filter, non disposable w pap |
100 |
98 |
$1K |
| E0156 |
Walker seat attachment |
45 |
45 |
$514.18 |