| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,147 |
14,354 |
$827K |
| E0466 |
Home vent non-invasive inter |
344 |
291 |
$154K |
| E0431 |
Portable gaseous 02 |
12,140 |
8,934 |
$84K |
| E0601 |
Cont airway pressure device |
2,059 |
1,554 |
$45K |
| A7030 |
Cpap full face mask |
741 |
616 |
$41K |
| E0143 |
Walker folding wheeled w/o s |
1,665 |
1,269 |
$40K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,422 |
1,070 |
$38K |
| E0570 |
Nebulizer with compression |
2,104 |
1,730 |
$36K |
| K0003 |
Lightweight wheelchair |
1,524 |
1,157 |
$30K |
| L4360 |
Pneumat walking boot pre cst |
125 |
107 |
$22K |
| L3908 |
Who cock-up nonmolde pre ots |
586 |
508 |
$22K |
| E0114 |
Crutch underarm pair no wood |
756 |
695 |
$21K |
| E0562 |
Humidifier heated used w pap |
271 |
236 |
$19K |
| K0001 |
Standard wheelchair |
1,530 |
1,156 |
$18K |
| E0163 |
Commode chair with fixed arm |
559 |
416 |
$15K |
| A7031 |
Replacement facemask interfa |
596 |
504 |
$15K |
| A7035 |
Pos airway press headgear |
904 |
765 |
$11K |
| L3660 |
So 8 ab rstr can/web pre ots |
246 |
210 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
160 |
135 |
$10K |
| A4604 |
Tubing with heating element |
387 |
353 |
$9K |
| E0603 |
Electric breast pump |
130 |
107 |
$7K |
| A7037 |
Pos airway pressure tubing |
704 |
561 |
$6K |
| A7038 |
Pos airway pressure filter |
1,624 |
1,331 |
$5K |
| A7005 |
Nondisposable nebulizer set |
494 |
431 |
$4K |
| A7034 |
Nasal application device |
104 |
88 |
$4K |
| K0195 |
Elevating whlchair leg rests |
237 |
188 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
528 |
189 |
$2K |
| L4386 |
Non-pneum walk boot pre cst |
13 |
13 |
$2K |
| E0973 |
W/ch access det adj armrest |
165 |
53 |
$1K |
| L1902 |
Afo ankle gauntlet pre ots |
14 |
14 |
$999.20 |
| A7039 |
Filter, non disposable w pap |
182 |
161 |
$753.41 |
| A7046 |
Repl water chamber, pap dev |
84 |
81 |
$717.40 |
| E2201 |
Man w/ch acc seat w>=20"<24" |
14 |
13 |
$647.01 |
| E0951 |
Loop heel |
229 |
87 |
$330.20 |
| E0961 |
Wheelchair brake extension |
114 |
40 |
$313.82 |
| E0156 |
Walker seat attachment |
30 |
27 |
$282.23 |
| E0978 |
W/c acc,saf belt pelv strap |
167 |
112 |
$234.03 |
| A7003 |
Nebulizer administration set |
119 |
103 |
$31.66 |
| A7015 |
Aerosol mask used w nebulize |
14 |
14 |
$12.43 |