| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,331 |
12,154 |
$433K |
| E0601 |
Cont airway pressure device |
4,388 |
3,731 |
$93K |
| A7030 |
Cpap full face mask |
2,369 |
2,022 |
$92K |
| E0570 |
Nebulizer with compression |
3,549 |
3,152 |
$53K |
| A4604 |
Tubing with heating element |
2,595 |
2,203 |
$47K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,198 |
2,693 |
$46K |
| E1392 |
Portable oxygen concentrator |
3,903 |
3,097 |
$40K |
| K0001 |
Standard wheelchair |
4,997 |
4,195 |
$39K |
| E0431 |
Portable gaseous 02 |
5,132 |
4,532 |
$38K |
| E0562 |
Humidifier heated used w pap |
5,315 |
4,441 |
$33K |
| A7034 |
Nasal application device |
1,231 |
1,042 |
$31K |
| A7035 |
Pos airway press headgear |
2,151 |
1,824 |
$17K |
| A7031 |
Replacement facemask interfa |
1,020 |
865 |
$10K |
| A7038 |
Pos airway pressure filter |
4,096 |
3,488 |
$9K |
| E0118 |
Crutch substitute |
359 |
322 |
$9K |
| A4239 |
Non-adju cgm supply allow |
63 |
55 |
$9K |
| A5512 |
Multi den insert direct form |
301 |
116 |
$5K |
| A7037 |
Pos airway pressure tubing |
790 |
675 |
$4K |
| A5500 |
Diab shoe for density insert |
303 |
117 |
$4K |
| A7003 |
Nebulizer administration set |
2,243 |
1,978 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
211 |
186 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
104 |
90 |
$3K |
| K0195 |
Elevating whlchair leg rests |
850 |
741 |
$3K |
| A7046 |
Repl water chamber, pap dev |
509 |
434 |
$3K |
| E0630 |
Patient lift hydraulic |
143 |
131 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,806 |
1,595 |
$1K |
| A7032 |
Replacement nasal cushion |
79 |
63 |
$1K |
| K0738 |
Portable gas oxygen system |
49 |
41 |
$477.25 |
| K0006 |
Heavy duty wheelchair |
13 |
12 |
$303.96 |
| A7033 |
Replacement nasal pillows |
18 |
12 |
$106.10 |
| E0156 |
Walker seat attachment |
13 |
12 |
$42.52 |