| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,007 |
12,714 |
$871K |
| E0601 |
Cont airway pressure device |
3,109 |
2,996 |
$390K |
| E0570 |
Nebulizer with compression |
3,377 |
3,276 |
$206K |
| E0562 |
Humidifier heated used w pap |
3,473 |
3,333 |
$127K |
| E0431 |
Portable gaseous 02 |
8,248 |
8,077 |
$107K |
| A7030 |
Cpap full face mask |
1,080 |
1,064 |
$80K |
| A7035 |
Pos airway press headgear |
2,822 |
2,785 |
$43K |
| A7037 |
Pos airway pressure tubing |
3,169 |
3,135 |
$40K |
| L3908 |
Who cock-up nonmolde pre ots |
674 |
598 |
$34K |
| A7034 |
Nasal application device |
633 |
622 |
$31K |
| E0114 |
Crutch underarm pair no wood |
739 |
728 |
$23K |
| A7005 |
Nondisposable nebulizer set |
1,271 |
1,259 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
98 |
94 |
$12K |
| L1902 |
Afo ankle gauntlet pre ots |
128 |
125 |
$9K |
| A7038 |
Pos airway pressure filter |
2,054 |
2,017 |
$6K |
| K0001 |
Standard wheelchair |
311 |
301 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,023 |
1,006 |
$4K |
| L3660 |
So 8 ab rstr can/web pre ots |
41 |
41 |
$3K |
| L1930 |
Afo plastic |
14 |
14 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
47 |
37 |
$1K |
| L1820 |
Ko elas w/ condyle pads & jo |
13 |
12 |
$1K |
| A7031 |
Replacement facemask interfa |
33 |
33 |
$742.49 |
| A7003 |
Nebulizer administration set |
354 |
348 |
$370.11 |
| A7015 |
Aerosol mask used w nebulize |
85 |
85 |
$69.97 |