| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
116,174 |
108,038 |
$2.72M |
| A7030 |
Cpap full face mask |
48,168 |
44,016 |
$1.91M |
| A7031 |
Replacement facemask interfa |
80,301 |
73,294 |
$1.78M |
| A4604 |
Tubing with heating element |
64,414 |
58,875 |
$1.17M |
| E0466 |
Home vent non-invasive inter |
4,306 |
3,918 |
$1.04M |
| E0601 |
Cont airway pressure device |
38,276 |
34,047 |
$1.01M |
| A7034 |
Nasal application device |
29,597 |
26,911 |
$728K |
| A7032 |
Replacement nasal cushion |
27,742 |
25,172 |
$693K |
| A7033 |
Replacement nasal pillows |
21,523 |
19,446 |
$438K |
| A7035 |
Pos airway press headgear |
45,062 |
41,211 |
$430K |
| E0562 |
Humidifier heated used w pap |
35,380 |
31,598 |
$383K |
| A7038 |
Pos airway pressure filter |
137,196 |
124,298 |
$356K |
| E0431 |
Portable gaseous 02 |
62,560 |
58,346 |
$354K |
| E0470 |
Rad w/o backup non-inv intfc |
5,207 |
4,676 |
$285K |
| K0738 |
Portable gas oxygen system |
16,889 |
15,723 |
$278K |
| A7046 |
Repl water chamber, pap dev |
34,814 |
32,353 |
$216K |
| E0260 |
Hosp bed semi-electr w/ matt |
10,517 |
9,933 |
$139K |
| E0570 |
Nebulizer with compression |
18,680 |
17,434 |
$95K |
| A7037 |
Pos airway pressure tubing |
15,318 |
13,848 |
$84K |
| E0471 |
Rad w/backup non inv intrfc |
623 |
550 |
$81K |
| E0143 |
Walker folding wheeled w/o s |
2,522 |
2,446 |
$60K |
| K0195 |
Elevating whlchair leg rests |
12,201 |
11,699 |
$60K |
| E0630 |
Patient lift hydraulic |
3,999 |
3,791 |
$46K |
| A7039 |
Filter, non disposable w pap |
13,315 |
11,943 |
$44K |
| K0001 |
Standard wheelchair |
8,463 |
8,196 |
$43K |
| E0600 |
Suction pump portab hom modl |
1,767 |
1,695 |
$35K |
| E1392 |
Portable oxygen concentrator |
3,487 |
3,334 |
$26K |
| E0163 |
Commode chair with fixed arm |
799 |
777 |
$18K |
| E0971 |
Wheelchair anti-tipping devi |
720 |
698 |
$18K |
| A7005 |
Nondisposable nebulizer set |
2,639 |
2,444 |
$17K |
| K0006 |
Heavy duty wheelchair |
859 |
839 |
$11K |
| A7036 |
Pos airway press chinstrap |
1,814 |
1,747 |
$10K |
| E0277 |
Powered pres-redu air mattrs |
104 |
90 |
$7K |
| E0185 |
Gel pressure mattress pad |
123 |
120 |
$6K |
| E0443 |
Portable 02 contents, gas |
1,258 |
1,200 |
$5K |
| E0303 |
Hosp bed hvy dty xtra wide |
84 |
77 |
$5K |
| K0003 |
Lightweight wheelchair |
714 |
688 |
$4K |
| E0181 |
Press pad alternating w/ pum |
1,123 |
1,074 |
$4K |
| E1038 |
Transport chair pt wt<=300lb |
1,347 |
1,303 |
$3K |
| A7003 |
Nebulizer administration set |
3,642 |
3,345 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
109 |
106 |
$2K |
| E0149 |
Heavy duty wheeled walker |
320 |
318 |
$2K |
| E1226 |
Manual fully reclining back |
60 |
60 |
$2K |
| E0156 |
Walker seat attachment |
53 |
52 |
$512.11 |
| A7015 |
Aerosol mask used w nebulize |
1,071 |
1,001 |
$505.55 |
| A7013 |
Disposable compressor filter |
1,499 |
1,372 |
$414.77 |
| K0007 |
Extra heavy duty wheelchair |
27 |
27 |
$396.33 |
| E0165 |
Commode chair with detacharm |
53 |
51 |
$293.32 |
| A7014 |
Compressor nondispos filter |
138 |
134 |
$237.36 |
| K0052 |
Swingaway detach ftrest repl |
292 |
252 |
$225.79 |