| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,985 |
13,894 |
$533K |
| E0466 |
Home vent non-invasive inter |
1,283 |
1,140 |
$465K |
| E0601 |
Cont airway pressure device |
9,696 |
8,542 |
$336K |
| A7031 |
Replacement facemask interfa |
8,300 |
7,697 |
$220K |
| A4604 |
Tubing with heating element |
7,071 |
6,673 |
$197K |
| A7030 |
Cpap full face mask |
3,915 |
3,610 |
$171K |
| E0470 |
Rad w/o backup non-inv intfc |
2,140 |
1,934 |
$137K |
| E1392 |
Portable oxygen concentrator |
6,966 |
6,472 |
$108K |
| E0562 |
Humidifier heated used w pap |
10,142 |
8,782 |
$106K |
| A7034 |
Nasal application device |
2,346 |
2,186 |
$94K |
| E0570 |
Nebulizer with compression |
2,359 |
2,179 |
$68K |
| A7035 |
Pos airway press headgear |
3,783 |
3,548 |
$47K |
| A7038 |
Pos airway pressure filter |
15,315 |
14,291 |
$46K |
| E0431 |
Portable gaseous 02 |
4,694 |
4,290 |
$38K |
| A7032 |
Replacement nasal cushion |
1,619 |
1,506 |
$29K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,354 |
1,223 |
$27K |
| A7046 |
Repl water chamber, pap dev |
2,839 |
2,680 |
$26K |
| E0114 |
Crutch underarm pair no wood |
694 |
663 |
$23K |
| K0001 |
Standard wheelchair |
2,148 |
1,959 |
$20K |
| E0143 |
Walker folding wheeled w/o s |
470 |
440 |
$12K |
| A7037 |
Pos airway pressure tubing |
713 |
661 |
$7K |
| A7039 |
Filter, non disposable w pap |
1,208 |
1,115 |
$4K |
| A7033 |
Replacement nasal pillows |
203 |
195 |
$4K |
| A7004 |
Disposable nebulizer sml vol |
1,068 |
1,001 |
$2K |
| E0295 |
Hosp bed semi-elect w/o matt |
37 |
36 |
$947.29 |
| K0195 |
Elevating whlchair leg rests |
94 |
82 |
$393.48 |
| L3908 |
Who cock-up nonmolde pre ots |
19 |
12 |
$342.75 |
| E0163 |
Commode chair with fixed arm |
12 |
12 |
$280.82 |