| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
6,040 |
5,130 |
$2.29M |
| E1390 |
Oxygen concentrator |
58,685 |
50,831 |
$2.23M |
| A7031 |
Replacement facemask interfa |
41,011 |
36,637 |
$893K |
| A7030 |
Cpap full face mask |
15,257 |
13,203 |
$628K |
| A7032 |
Replacement nasal cushion |
18,191 |
16,197 |
$446K |
| A4604 |
Tubing with heating element |
17,882 |
16,076 |
$436K |
| E0601 |
Cont airway pressure device |
11,659 |
10,332 |
$359K |
| A7034 |
Nasal application device |
10,749 |
9,581 |
$358K |
| E0431 |
Portable gaseous 02 |
31,759 |
27,001 |
$311K |
| A7038 |
Pos airway pressure filter |
73,551 |
65,987 |
$238K |
| E0570 |
Nebulizer with compression |
11,635 |
9,155 |
$228K |
| A7037 |
Pos airway pressure tubing |
20,372 |
18,317 |
$220K |
| A7035 |
Pos airway press headgear |
17,094 |
15,164 |
$212K |
| E0562 |
Humidifier heated used w pap |
4,738 |
4,274 |
$151K |
| E0470 |
Rad w/o backup non-inv intfc |
1,656 |
1,492 |
$118K |
| A7046 |
Repl water chamber, pap dev |
14,078 |
12,521 |
$110K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,488 |
3,678 |
$105K |
| E1392 |
Portable oxygen concentrator |
6,113 |
5,283 |
$94K |
| A7039 |
Filter, non disposable w pap |
16,146 |
14,547 |
$83K |
| A7033 |
Replacement nasal pillows |
4,328 |
3,886 |
$73K |
| K0003 |
Lightweight wheelchair |
2,677 |
2,297 |
$48K |
| E0143 |
Walker folding wheeled w/o s |
2,166 |
1,825 |
$48K |
| K0004 |
High strength ltwt whlchr |
766 |
686 |
$33K |
| L4360 |
Pneumat walking boot pre cst |
243 |
217 |
$32K |
| K0001 |
Standard wheelchair |
2,769 |
2,190 |
$31K |
| E0973 |
W/ch access det adj armrest |
1,493 |
815 |
$26K |
| A7005 |
Nondisposable nebulizer set |
2,560 |
2,281 |
$21K |
| K0823 |
Pwc gp 2 std cap chair |
232 |
174 |
$21K |
| K0007 |
Extra heavy duty wheelchair |
294 |
239 |
$15K |
| L3908 |
Who cock-up nonmolde pre ots |
369 |
308 |
$12K |
| E0163 |
Commode chair with fixed arm |
492 |
409 |
$11K |
| E0114 |
Crutch underarm pair no wood |
359 |
337 |
$10K |
| E0156 |
Walker seat attachment |
1,131 |
917 |
$7K |
| E0951 |
Loop heel |
445 |
293 |
$3K |
| A4627 |
Spacer bag/reservoir |
99 |
79 |
$2K |
| E2611 |
Gen use back cush wdth <22in |
41 |
37 |
$2K |
| A7003 |
Nebulizer administration set |
1,026 |
903 |
$1K |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$790.43 |
| E2601 |
Gen w/c cushion wdth < 22 in |
27 |
24 |
$575.60 |
| E0439 |
Stationary liquid 02 |
14 |
12 |
$421.09 |
| K0195 |
Elevating whlchair leg rests |
12 |
12 |
$395.57 |
| E0135 |
Walker folding adjust/fixed |
15 |
12 |
$246.91 |
| A7013 |
Disposable compressor filter |
400 |
349 |
$193.14 |
| A4565 |
Slings |
30 |
28 |
$105.34 |
| A4615 |
Cannula nasal |
21 |
16 |
$1.60 |