| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,222 |
9,944 |
$360K |
| E0601 |
Cont airway pressure device |
12,431 |
7,194 |
$272K |
| A7030 |
Cpap full face mask |
3,038 |
2,097 |
$111K |
| E0562 |
Humidifier heated used w pap |
910 |
593 |
$69K |
| A7031 |
Replacement facemask interfa |
3,345 |
2,405 |
$67K |
| A7034 |
Nasal application device |
2,739 |
1,868 |
$64K |
| A4604 |
Tubing with heating element |
5,114 |
3,468 |
$63K |
| K0738 |
Portable gas oxygen system |
3,197 |
2,245 |
$33K |
| E0431 |
Portable gaseous 02 |
6,152 |
4,239 |
$33K |
| A7035 |
Pos airway press headgear |
3,839 |
2,665 |
$33K |
| E0466 |
Home vent non-invasive inter |
52 |
48 |
$31K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,383 |
752 |
$29K |
| E0570 |
Nebulizer with compression |
3,674 |
2,652 |
$25K |
| A7038 |
Pos airway pressure filter |
6,753 |
4,691 |
$22K |
| A7032 |
Replacement nasal cushion |
989 |
704 |
$20K |
| A7033 |
Replacement nasal pillows |
1,253 |
856 |
$19K |
| K0001 |
Standard wheelchair |
2,026 |
1,038 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
357 |
230 |
$11K |
| A7046 |
Repl water chamber, pap dev |
2,368 |
1,680 |
$10K |
| K0195 |
Elevating whlchair leg rests |
2,148 |
1,095 |
$6K |
| E0630 |
Patient lift hydraulic |
338 |
192 |
$5K |
| E1392 |
Portable oxygen concentrator |
434 |
356 |
$3K |
| A7037 |
Pos airway pressure tubing |
351 |
245 |
$2K |
| K0002 |
Stnd hemi (low seat) whlchr |
410 |
159 |
$2K |
| K0003 |
Lightweight wheelchair |
100 |
60 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
59 |
46 |
$669.29 |
| A7036 |
Pos airway press chinstrap |
74 |
53 |
$434.82 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$138.41 |
| E0156 |
Walker seat attachment |
16 |
13 |
$9.38 |