| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,357 |
5,020 |
$117K |
| E0601 |
Cont airway pressure device |
5,016 |
4,120 |
$73K |
| E0483 |
Hi freq chest wall oscil sys |
308 |
282 |
$55K |
| A7030 |
Cpap full face mask |
1,601 |
1,296 |
$53K |
| A7031 |
Replacement facemask interfa |
3,178 |
2,553 |
$52K |
| A7032 |
Replacement nasal cushion |
1,739 |
1,383 |
$28K |
| E0562 |
Humidifier heated used w pap |
4,691 |
3,783 |
$25K |
| A4604 |
Tubing with heating element |
1,537 |
1,216 |
$22K |
| A7034 |
Nasal application device |
1,177 |
940 |
$22K |
| E1392 |
Portable oxygen concentrator |
2,215 |
1,774 |
$18K |
| A7035 |
Pos airway press headgear |
1,817 |
1,488 |
$12K |
| A7038 |
Pos airway pressure filter |
5,455 |
4,374 |
$11K |
| E0431 |
Portable gaseous 02 |
2,363 |
1,798 |
$10K |
| E0570 |
Nebulizer with compression |
2,557 |
2,125 |
$6K |
| A7037 |
Pos airway pressure tubing |
1,192 |
973 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,371 |
1,115 |
$3K |
| A7046 |
Repl water chamber, pap dev |
653 |
526 |
$3K |
| A7033 |
Replacement nasal pillows |
295 |
243 |
$3K |
| K0003 |
Lightweight wheelchair |
567 |
428 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
234 |
197 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
361 |
295 |
$2K |
| K0001 |
Standard wheelchair |
386 |
308 |
$1K |
| E0630 |
Patient lift hydraulic |
65 |
63 |
$548.08 |
| E0973 |
W/ch access det adj armrest |
510 |
182 |
$309.56 |
| A7005 |
Nondisposable nebulizer set |
21 |
15 |
$87.68 |
| E0143 |
Walker folding wheeled w/o s |
17 |
12 |
$29.97 |