| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,596 |
9,977 |
$1.06M |
| E0601 |
Cont airway pressure device |
5,798 |
5,498 |
$330K |
| A7030 |
Cpap full face mask |
2,363 |
2,212 |
$229K |
| E0570 |
Nebulizer with compression |
3,716 |
3,531 |
$178K |
| E0470 |
Rad w/o backup non-inv intfc |
1,044 |
957 |
$160K |
| E0562 |
Humidifier heated used w pap |
2,800 |
2,602 |
$159K |
| E0431 |
Portable gaseous 02 |
6,283 |
5,979 |
$111K |
| A7031 |
Replacement facemask interfa |
1,517 |
1,436 |
$80K |
| A7034 |
Nasal application device |
1,267 |
1,220 |
$63K |
| A7035 |
Pos airway press headgear |
2,810 |
2,650 |
$60K |
| K0738 |
Portable gas oxygen system |
1,678 |
1,618 |
$55K |
| K0001 |
Standard wheelchair |
1,984 |
1,896 |
$42K |
| A7037 |
Pos airway pressure tubing |
2,714 |
2,561 |
$40K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,022 |
993 |
$39K |
| A7005 |
Nondisposable nebulizer set |
1,855 |
1,718 |
$38K |
| E0603 |
Electric breast pump |
265 |
261 |
$33K |
| A7038 |
Pos airway pressure filter |
3,884 |
3,683 |
$32K |
| E1392 |
Portable oxygen concentrator |
1,393 |
1,270 |
$29K |
| A4604 |
Tubing with heating element |
794 |
757 |
$14K |
| A7033 |
Replacement nasal pillows |
386 |
369 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,011 |
982 |
$12K |
| A7032 |
Replacement nasal cushion |
208 |
204 |
$10K |
| E0114 |
Crutch underarm pair no wood |
253 |
239 |
$8K |
| L4387 |
Non-pneum walk boot pre ots |
58 |
58 |
$7K |
| E0424 |
Stationary compressed gas 02 |
27 |
27 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
48 |
46 |
$3K |
| A7039 |
Filter, non disposable w pap |
84 |
76 |
$707.36 |
| A7015 |
Aerosol mask used w nebulize |
293 |
281 |
$450.56 |