| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
10,920 |
10,527 |
$1.63M |
| E0466 |
Home vent non-invasive inter |
1,758 |
1,751 |
$1.24M |
| E1390 |
Oxygen concentrator |
10,814 |
10,664 |
$1.07M |
| E0562 |
Humidifier heated used w pap |
4,801 |
4,776 |
$935K |
| A7034 |
Nasal application device |
5,168 |
5,119 |
$396K |
| A7030 |
Cpap full face mask |
5,031 |
4,966 |
$313K |
| A4604 |
Tubing with heating element |
6,460 |
6,420 |
$299K |
| A7035 |
Pos airway press headgear |
9,084 |
8,966 |
$246K |
| E1392 |
Portable oxygen concentrator |
1,988 |
1,975 |
$194K |
| K0738 |
Portable gas oxygen system |
5,637 |
5,574 |
$164K |
| E0470 |
Rad w/o backup non-inv intfc |
911 |
898 |
$152K |
| A7037 |
Pos airway pressure tubing |
5,195 |
5,166 |
$141K |
| K0001 |
Standard wheelchair |
3,404 |
3,395 |
$136K |
| A7038 |
Pos airway pressure filter |
11,909 |
11,809 |
$128K |
| E0295 |
Hosp bed semi-elect w/o matt |
1,224 |
1,219 |
$124K |
| A7031 |
Replacement facemask interfa |
2,327 |
2,298 |
$113K |
| E0465 |
Home vent invasive interface |
80 |
80 |
$90K |
| A7032 |
Replacement nasal cushion |
2,087 |
2,048 |
$84K |
| E0570 |
Nebulizer with compression |
1,042 |
1,030 |
$73K |
| A7033 |
Replacement nasal pillows |
1,918 |
1,890 |
$62K |
| E0143 |
Walker folding wheeled w/o s |
764 |
759 |
$61K |
| A7046 |
Repl water chamber, pap dev |
4,233 |
4,206 |
$58K |
| A7036 |
Pos airway press chinstrap |
4,405 |
4,378 |
$57K |
| E0630 |
Patient lift hydraulic |
949 |
945 |
$55K |
| E0431 |
Portable gaseous 02 |
2,462 |
2,430 |
$51K |
| E0163 |
Commode chair with fixed arm |
347 |
344 |
$26K |
| E0471 |
Rad w/backup non inv intrfc |
64 |
63 |
$24K |
| E0260 |
Hosp bed semi-electr w/ matt |
501 |
498 |
$21K |
| E0600 |
Suction pump portab hom modl |
369 |
369 |
$13K |
| E0305 |
Rails bed side half length |
873 |
873 |
$12K |
| E1140 |
Wheelchair standard detach a |
216 |
213 |
$12K |
| E0277 |
Powered pres-redu air mattrs |
24 |
24 |
$11K |
| A4670 |
Automatic bp monitor, dial |
375 |
375 |
$8K |
| E0271 |
Mattress innerspring |
376 |
376 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
37 |
37 |
$5K |
| E0272 |
Mattress foam rubber |
166 |
166 |
$3K |
| A7005 |
Nondisposable nebulizer set |
89 |
88 |
$2K |
| E0240 |
Bath/shower chair |
46 |
46 |
$1K |
| A7000 |
Disposable canister for pump |
17 |
13 |
$506.51 |
| A7039 |
Filter, non disposable w pap |
51 |
51 |
$497.21 |
| E0156 |
Walker seat attachment |
18 |
15 |
$285.42 |
| E1038 |
Transport chair pt wt<=300lb |
12 |
12 |
$199.51 |
| A7003 |
Nebulizer administration set |
93 |
93 |
$152.62 |
| A7013 |
Disposable compressor filter |
251 |
248 |
$132.52 |