| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,591 |
5,371 |
$510K |
| E0466 |
Home vent non-invasive inter |
123 |
118 |
$105K |
| E0445 |
Oximeter non-invasive |
419 |
409 |
$96K |
| E0601 |
Cont airway pressure device |
1,995 |
1,808 |
$92K |
| E0431 |
Portable gaseous 02 |
4,589 |
4,401 |
$73K |
| E0562 |
Humidifier heated used w pap |
2,485 |
2,358 |
$61K |
| E0143 |
Walker folding wheeled w/o s |
910 |
874 |
$39K |
| K0001 |
Standard wheelchair |
2,164 |
1,910 |
$28K |
| E0570 |
Nebulizer with compression |
1,462 |
1,377 |
$25K |
| A4604 |
Tubing with heating element |
449 |
432 |
$23K |
| E1392 |
Portable oxygen concentrator |
648 |
613 |
$17K |
| A7031 |
Replacement facemask interfa |
178 |
145 |
$13K |
| E0260 |
Hosp bed semi-electr w/ matt |
527 |
444 |
$12K |
| A7035 |
Pos airway press headgear |
377 |
361 |
$10K |
| A7038 |
Pos airway pressure filter |
730 |
605 |
$6K |
| K0195 |
Elevating whlchair leg rests |
292 |
277 |
$4K |
| A7034 |
Nasal application device |
26 |
25 |
$2K |
| A7030 |
Cpap full face mask |
14 |
14 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
188 |
156 |
$587.99 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$519.97 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$278.49 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$147.14 |