| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
38,709 |
30,389 |
$1.45M |
| A7030 |
Cpap full face mask |
7,385 |
6,119 |
$383K |
| A4604 |
Tubing with heating element |
12,364 |
10,167 |
$277K |
| A7031 |
Replacement facemask interfa |
8,597 |
7,166 |
$233K |
| A7034 |
Nasal application device |
5,398 |
4,410 |
$184K |
| E0431 |
Portable gaseous 02 |
18,687 |
14,609 |
$157K |
| E0601 |
Cont airway pressure device |
4,037 |
3,472 |
$140K |
| E0570 |
Nebulizer with compression |
10,611 |
7,984 |
$118K |
| E1392 |
Portable oxygen concentrator |
11,506 |
8,883 |
$116K |
| A7032 |
Replacement nasal cushion |
3,442 |
2,833 |
$105K |
| E0470 |
Rad w/o backup non-inv intfc |
1,520 |
1,245 |
$91K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,911 |
3,540 |
$88K |
| A7035 |
Pos airway press headgear |
7,020 |
5,775 |
$78K |
| E0143 |
Walker folding wheeled w/o s |
3,510 |
2,638 |
$73K |
| A7033 |
Replacement nasal pillows |
2,659 |
2,214 |
$61K |
| E0562 |
Humidifier heated used w pap |
5,385 |
4,572 |
$57K |
| A7038 |
Pos airway pressure filter |
15,135 |
12,568 |
$52K |
| A7046 |
Repl water chamber, pap dev |
6,364 |
5,200 |
$46K |
| E1140 |
Wheelchair standard detach a |
1,717 |
1,610 |
$37K |
| E0600 |
Suction pump portab hom modl |
1,354 |
938 |
$31K |
| A7005 |
Nondisposable nebulizer set |
2,664 |
2,135 |
$25K |
| B4152 |
Ef calorie dense>/=1.5kcal |
244 |
187 |
$24K |
| E0630 |
Patient lift hydraulic |
1,200 |
890 |
$18K |
| E0149 |
Heavy duty wheeled walker |
1,031 |
809 |
$13K |
| K0001 |
Standard wheelchair |
3,955 |
3,005 |
$12K |
| B4035 |
Enteral feed supp pump per d |
83 |
64 |
$10K |
| E1130 |
Whlchr stand fxd arm ft rest |
833 |
740 |
$4K |
| B4034 |
Enter feed supkit syr by day |
45 |
36 |
$3K |
| E1150 |
Wheelchair standard w/ leg r |
68 |
66 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
1,726 |
677 |
$2K |
| K0195 |
Elevating whlchair leg rests |
1,414 |
1,005 |
$2K |
| E0443 |
Portable 02 contents, gas |
398 |
254 |
$2K |
| E0165 |
Commode chair with detacharm |
33 |
25 |
$2K |
| E0156 |
Walker seat attachment |
272 |
183 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
1,404 |
1,138 |
$1K |
| A7036 |
Pos airway press chinstrap |
137 |
116 |
$835.12 |
| E0114 |
Crutch underarm pair no wood |
19 |
13 |
$580.52 |
| E0990 |
Wheelchair elevating leg res |
194 |
148 |
$520.43 |
| E1093 |
Wheelchair wide w/ foot rest |
14 |
12 |
$426.94 |
| E0245 |
Tub stool or bench |
14 |
14 |
$420.98 |
| A7003 |
Nebulizer administration set |
17 |
12 |
$22.50 |