| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,981 |
14,741 |
$1.09M |
| E0601 |
Cont airway pressure device |
3,837 |
3,649 |
$291K |
| A7030 |
Cpap full face mask |
1,971 |
1,962 |
$151K |
| E0431 |
Portable gaseous 02 |
10,007 |
9,886 |
$144K |
| E0570 |
Nebulizer with compression |
2,999 |
2,978 |
$93K |
| E0562 |
Humidifier heated used w pap |
3,476 |
3,291 |
$83K |
| A7031 |
Replacement facemask interfa |
1,126 |
1,122 |
$45K |
| E0143 |
Walker folding wheeled w/o s |
925 |
919 |
$40K |
| E0114 |
Crutch underarm pair no wood |
1,765 |
1,758 |
$35K |
| A7035 |
Pos airway press headgear |
2,447 |
2,433 |
$30K |
| A7037 |
Pos airway pressure tubing |
3,004 |
2,992 |
$29K |
| L1902 |
Afo ankle gauntlet pre ots |
706 |
699 |
$27K |
| K0001 |
Standard wheelchair |
1,659 |
1,634 |
$26K |
| L3660 |
So 8 ab rstr can/web pre ots |
556 |
556 |
$20K |
| L3908 |
Who cock-up nonmolde pre ots |
557 |
532 |
$19K |
| L1820 |
Ko elas w/ condyle pads & jo |
256 |
250 |
$18K |
| A7034 |
Nasal application device |
539 |
535 |
$18K |
| A7038 |
Pos airway pressure filter |
2,964 |
2,939 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
773 |
769 |
$11K |
| E0261 |
Hosp bed semi-electr w/o mat |
277 |
271 |
$9K |
| L4361 |
Pneuma/vac walk boot pre ots |
132 |
131 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
51 |
50 |
$8K |
| A7003 |
Nebulizer administration set |
1,429 |
1,418 |
$4K |
| L1830 |
Ko immob canvas long pre ots |
37 |
37 |
$2K |
| B4035 |
Enteral feed supp pump per d |
55 |
54 |
$1K |
| A7032 |
Replacement nasal cushion |
26 |
26 |
$861.90 |
| A7046 |
Repl water chamber, pap dev |
153 |
152 |
$624.70 |
| E0156 |
Walker seat attachment |
36 |
36 |
$339.95 |
| E0149 |
Heavy duty wheeled walker |
24 |
24 |
$302.67 |
| E0245 |
Tub stool or bench |
12 |
12 |
$272.62 |