| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
27,221 |
24,832 |
$950K |
| E0601 |
Cont airway pressure device |
4,809 |
4,468 |
$174K |
| E0431 |
Portable gaseous 02 |
11,844 |
11,052 |
$157K |
| E0562 |
Humidifier heated used w pap |
2,362 |
2,202 |
$72K |
| A7030 |
Cpap full face mask |
1,790 |
1,598 |
$71K |
| E0470 |
Rad w/o backup non-inv intfc |
941 |
892 |
$70K |
| E1392 |
Portable oxygen concentrator |
5,883 |
5,278 |
$51K |
| E0570 |
Nebulizer with compression |
3,733 |
3,329 |
$47K |
| A7031 |
Replacement facemask interfa |
2,186 |
1,932 |
$44K |
| K0001 |
Standard wheelchair |
1,167 |
1,081 |
$29K |
| A7035 |
Pos airway press headgear |
2,186 |
1,964 |
$28K |
| A7034 |
Nasal application device |
1,257 |
1,113 |
$27K |
| A7037 |
Pos airway pressure tubing |
2,532 |
2,274 |
$22K |
| A7038 |
Pos airway pressure filter |
6,753 |
6,196 |
$15K |
| E0466 |
Home vent non-invasive inter |
51 |
48 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
477 |
439 |
$13K |
| A7032 |
Replacement nasal cushion |
567 |
505 |
$9K |
| A7033 |
Replacement nasal pillows |
597 |
539 |
$8K |
| K0195 |
Elevating whlchair leg rests |
339 |
318 |
$8K |
| A4604 |
Tubing with heating element |
261 |
238 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
103 |
98 |
$4K |
| A7003 |
Nebulizer administration set |
836 |
750 |
$1K |
| A7046 |
Repl water chamber, pap dev |
499 |
428 |
$721.51 |
| E0163 |
Commode chair with fixed arm |
15 |
13 |
$393.47 |