| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,153 |
9,462 |
$405K |
| E0601 |
Cont airway pressure device |
9,890 |
5,967 |
$200K |
| E0143 |
Walker folding wheeled w/o s |
2,652 |
1,965 |
$70K |
| E0430 |
Oxygen system gas portable |
2,455 |
1,426 |
$66K |
| E0431 |
Portable gaseous 02 |
7,387 |
5,249 |
$35K |
| E1140 |
Wheelchair standard detach a |
1,319 |
760 |
$30K |
| E0163 |
Commode chair with fixed arm |
1,016 |
724 |
$20K |
| E0600 |
Suction pump portab hom modl |
828 |
599 |
$19K |
| A7032 |
Replacement nasal cushion |
1,238 |
963 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,384 |
944 |
$18K |
| E0466 |
Home vent non-invasive inter |
58 |
40 |
$17K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,171 |
786 |
$17K |
| A7030 |
Cpap full face mask |
1,428 |
1,122 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
205 |
125 |
$15K |
| K0003 |
Lightweight wheelchair |
2,323 |
1,882 |
$9K |
| E0570 |
Nebulizer with compression |
1,628 |
1,192 |
$7K |
| A7031 |
Replacement facemask interfa |
1,699 |
1,333 |
$5K |
| E0630 |
Patient lift hydraulic |
347 |
200 |
$5K |
| A7034 |
Nasal application device |
2,024 |
1,584 |
$4K |
| E0149 |
Heavy duty wheeled walker |
273 |
200 |
$4K |
| A7033 |
Replacement nasal pillows |
246 |
208 |
$3K |
| A7046 |
Repl water chamber, pap dev |
1,771 |
1,391 |
$2K |
| A7037 |
Pos airway pressure tubing |
3,084 |
2,415 |
$2K |
| A7035 |
Pos airway press headgear |
1,972 |
1,557 |
$2K |
| E0247 |
Trans bench w/wo comm open |
26 |
12 |
$1K |
| E0156 |
Walker seat attachment |
359 |
271 |
$1K |
| K0001 |
Standard wheelchair |
660 |
468 |
$1K |
| E1392 |
Portable oxygen concentrator |
316 |
199 |
$1K |
| K0195 |
Elevating whlchair leg rests |
470 |
359 |
$695.89 |
| A7038 |
Pos airway pressure filter |
4,190 |
3,292 |
$673.76 |
| A7039 |
Filter, non disposable w pap |
1,064 |
831 |
$200.32 |