| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,020 |
6,782 |
$499K |
| E0601 |
Cont airway pressure device |
2,638 |
2,612 |
$241K |
| E0570 |
Nebulizer with compression |
2,005 |
1,997 |
$99K |
| A7030 |
Cpap full face mask |
1,215 |
1,211 |
$92K |
| E0431 |
Portable gaseous 02 |
4,062 |
4,034 |
$70K |
| E0562 |
Humidifier heated used w pap |
1,729 |
1,725 |
$66K |
| E0143 |
Walker folding wheeled w/o s |
1,038 |
1,036 |
$52K |
| E0603 |
Electric breast pump |
524 |
501 |
$51K |
| A7031 |
Replacement facemask interfa |
1,338 |
1,335 |
$44K |
| A7035 |
Pos airway press headgear |
1,905 |
1,903 |
$22K |
| E1392 |
Portable oxygen concentrator |
270 |
269 |
$22K |
| A7034 |
Nasal application device |
675 |
674 |
$18K |
| A7037 |
Pos airway pressure tubing |
1,910 |
1,908 |
$14K |
| K0001 |
Standard wheelchair |
1,051 |
1,040 |
$12K |
| A7032 |
Replacement nasal cushion |
394 |
392 |
$8K |
| E0114 |
Crutch underarm pair no wood |
514 |
514 |
$7K |
| A7005 |
Nondisposable nebulizer set |
557 |
557 |
$6K |
| A7038 |
Pos airway pressure filter |
2,042 |
1,995 |
$4K |
| A4554 |
Disposable underpads |
52 |
51 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
114 |
114 |
$2K |
| E0163 |
Commode chair with fixed arm |
25 |
25 |
$1K |
| A7039 |
Filter, non disposable w pap |
1,027 |
1,020 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
43 |
40 |
$1K |
| E0445 |
Oximeter non-invasive |
12 |
12 |
$715.04 |
| K0738 |
Portable gas oxygen system |
332 |
332 |
$530.85 |
| L1902 |
Afo ankle gauntlet pre ots |
12 |
12 |
$351.00 |
| A7046 |
Repl water chamber, pap dev |
191 |
191 |
$342.42 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$185.46 |
| E0156 |
Walker seat attachment |
13 |
13 |
$86.62 |
| A4927 |
Non-sterile gloves |
12 |
12 |
$52.29 |
| A7003 |
Nebulizer administration set |
16 |
16 |
$33.90 |
| A7015 |
Aerosol mask used w nebulize |
13 |
13 |
$8.97 |