| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,029 |
838 |
$36K |
| E0601 |
Cont airway pressure device |
1,072 |
899 |
$28K |
| A7030 |
Cpap full face mask |
345 |
314 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
554 |
420 |
$8K |
| E1392 |
Portable oxygen concentrator |
450 |
378 |
$7K |
| A7031 |
Replacement facemask interfa |
445 |
362 |
$6K |
| E0466 |
Home vent non-invasive inter |
17 |
12 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
181 |
165 |
$5K |
| A4604 |
Tubing with heating element |
444 |
402 |
$5K |
| K0001 |
Standard wheelchair |
680 |
500 |
$4K |
| A7035 |
Pos airway press headgear |
272 |
242 |
$3K |
| K0738 |
Portable gas oxygen system |
334 |
262 |
$3K |
| A7038 |
Pos airway pressure filter |
1,042 |
771 |
$2K |
| E0562 |
Humidifier heated used w pap |
19 |
15 |
$2K |
| E0570 |
Nebulizer with compression |
332 |
252 |
$2K |
| A7034 |
Nasal application device |
63 |
56 |
$1K |
| E0163 |
Commode chair with fixed arm |
43 |
36 |
$1K |
| A7046 |
Repl water chamber, pap dev |
157 |
144 |
$559.89 |
| K0195 |
Elevating whlchair leg rests |
79 |
69 |
$497.50 |
| A7037 |
Pos airway pressure tubing |
14 |
12 |
$248.93 |
| A7033 |
Replacement nasal pillows |
17 |
12 |
$113.28 |