| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
27,747 |
22,574 |
$490K |
| E1392 |
Portable oxygen concentrator |
5,829 |
4,653 |
$179K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,162 |
4,288 |
$67K |
| E0431 |
Portable gaseous 02 |
17,009 |
14,036 |
$64K |
| E0601 |
Cont airway pressure device |
3,548 |
3,004 |
$58K |
| E0143 |
Walker folding wheeled w/o s |
2,816 |
2,397 |
$52K |
| K0001 |
Standard wheelchair |
9,550 |
7,747 |
$47K |
| A7030 |
Cpap full face mask |
1,236 |
1,016 |
$39K |
| E0163 |
Commode chair with fixed arm |
1,411 |
1,179 |
$28K |
| E0562 |
Humidifier heated used w pap |
4,066 |
3,385 |
$26K |
| E0570 |
Nebulizer with compression |
8,657 |
7,381 |
$22K |
| E0466 |
Home vent non-invasive inter |
151 |
142 |
$16K |
| A4604 |
Tubing with heating element |
865 |
698 |
$14K |
| K0007 |
Extra heavy duty wheelchair |
556 |
449 |
$12K |
| K0003 |
Lightweight wheelchair |
1,662 |
1,366 |
$11K |
| B4035 |
Enteral feed supp pump per d |
109 |
105 |
$9K |
| A7031 |
Replacement facemask interfa |
622 |
489 |
$9K |
| K0195 |
Elevating whlchair leg rests |
3,817 |
3,072 |
$9K |
| A7035 |
Pos airway press headgear |
1,569 |
1,333 |
$9K |
| E0114 |
Crutch underarm pair no wood |
263 |
229 |
$7K |
| A7034 |
Nasal application device |
367 |
301 |
$7K |
| E0149 |
Heavy duty wheeled walker |
1,376 |
1,060 |
$6K |
| E0168 |
Heavyduty/wide commode chair |
1,537 |
1,320 |
$5K |
| A7038 |
Pos airway pressure filter |
2,248 |
1,826 |
$4K |
| A7037 |
Pos airway pressure tubing |
576 |
524 |
$3K |
| E0630 |
Patient lift hydraulic |
421 |
367 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
75 |
60 |
$2K |
| A7046 |
Repl water chamber, pap dev |
397 |
309 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
1,815 |
1,485 |
$1K |
| E0165 |
Commode chair with detacharm |
490 |
366 |
$1K |
| A7003 |
Nebulizer administration set |
1,052 |
912 |
$1K |
| E1236 |
Folding ped wc adjustable |
13 |
13 |
$994.07 |
| E0156 |
Walker seat attachment |
219 |
175 |
$881.57 |
| L4350 |
Ankle control ortho pre ots |
15 |
13 |
$732.08 |
| L1830 |
Ko immob canvas long pre ots |
16 |
13 |
$546.47 |
| A7032 |
Replacement nasal cushion |
35 |
24 |
$355.51 |
| A7039 |
Filter, non disposable w pap |
16 |
15 |
$30.95 |