| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,257 |
15,570 |
$710K |
| E0601 |
Cont airway pressure device |
9,721 |
8,814 |
$396K |
| E0466 |
Home vent non-invasive inter |
700 |
620 |
$240K |
| E0562 |
Humidifier heated used w pap |
2,825 |
2,369 |
$214K |
| E0431 |
Portable gaseous 02 |
11,752 |
10,426 |
$191K |
| E0470 |
Rad w/o backup non-inv intfc |
1,292 |
1,127 |
$170K |
| A7030 |
Cpap full face mask |
2,494 |
2,117 |
$107K |
| A4604 |
Tubing with heating element |
4,315 |
3,751 |
$86K |
| A7034 |
Nasal application device |
2,386 |
2,076 |
$63K |
| A7031 |
Replacement facemask interfa |
2,657 |
2,155 |
$58K |
| A7035 |
Pos airway press headgear |
3,631 |
3,185 |
$55K |
| E1392 |
Portable oxygen concentrator |
3,439 |
3,082 |
$45K |
| E0570 |
Nebulizer with compression |
2,931 |
2,595 |
$41K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,401 |
1,192 |
$39K |
| E0143 |
Walker folding wheeled w/o s |
908 |
783 |
$28K |
| E0471 |
Rad w/backup non inv intrfc |
148 |
129 |
$26K |
| K0001 |
Standard wheelchair |
1,013 |
911 |
$23K |
| A7032 |
Replacement nasal cushion |
1,125 |
987 |
$17K |
| A7033 |
Replacement nasal pillows |
1,060 |
937 |
$17K |
| A7038 |
Pos airway pressure filter |
7,069 |
5,870 |
$13K |
| K0002 |
Stnd hemi (low seat) whlchr |
112 |
110 |
$5K |
| A7037 |
Pos airway pressure tubing |
165 |
152 |
$2K |
| A7046 |
Repl water chamber, pap dev |
939 |
796 |
$1K |
| A7036 |
Pos airway press chinstrap |
127 |
118 |
$808.57 |
| K0195 |
Elevating whlchair leg rests |
208 |
159 |
$620.47 |
| E0149 |
Heavy duty wheeled walker |
14 |
13 |
$616.10 |
| E0163 |
Commode chair with fixed arm |
14 |
12 |
$320.89 |
| A7005 |
Nondisposable nebulizer set |
15 |
12 |
$126.42 |