| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,926 |
7,878 |
$368K |
| E0601 |
Cont airway pressure device |
6,496 |
4,947 |
$199K |
| E0570 |
Nebulizer with compression |
9,707 |
6,905 |
$166K |
| A7030 |
Cpap full face mask |
4,145 |
2,847 |
$165K |
| L4361 |
Pneuma/vac walk boot pre ots |
671 |
539 |
$81K |
| E0261 |
Hosp bed semi-electr w/o mat |
3,691 |
3,045 |
$81K |
| A7031 |
Replacement facemask interfa |
4,331 |
2,742 |
$67K |
| E0470 |
Rad w/o backup non-inv intfc |
1,261 |
884 |
$62K |
| K0001 |
Standard wheelchair |
6,304 |
4,810 |
$61K |
| E0562 |
Humidifier heated used w pap |
948 |
703 |
$41K |
| E0431 |
Portable gaseous 02 |
6,129 |
4,658 |
$40K |
| A7037 |
Pos airway pressure tubing |
4,895 |
3,315 |
$39K |
| E0114 |
Crutch underarm pair no wood |
1,334 |
1,131 |
$39K |
| E0143 |
Walker folding wheeled w/o s |
1,954 |
1,455 |
$37K |
| A7034 |
Nasal application device |
1,081 |
702 |
$27K |
| A7035 |
Pos airway press headgear |
3,261 |
2,244 |
$25K |
| A7038 |
Pos airway pressure filter |
7,480 |
3,905 |
$25K |
| A7005 |
Nondisposable nebulizer set |
3,205 |
1,725 |
$22K |
| L3908 |
Who cock-up nonmolde pre ots |
734 |
545 |
$14K |
| E0163 |
Commode chair with fixed arm |
490 |
359 |
$12K |
| K0195 |
Elevating whlchair leg rests |
7,700 |
6,030 |
$12K |
| E1392 |
Portable oxygen concentrator |
1,289 |
958 |
$11K |
| K0003 |
Lightweight wheelchair |
426 |
389 |
$9K |
| A7032 |
Replacement nasal cushion |
575 |
258 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,809 |
1,237 |
$7K |
| E0630 |
Patient lift hydraulic |
429 |
367 |
$7K |
| L1830 |
Ko immob canvas long pre ots |
142 |
119 |
$6K |
| A7039 |
Filter, non disposable w pap |
2,439 |
1,585 |
$5K |
| K0002 |
Stnd hemi (low seat) whlchr |
242 |
231 |
$4K |
| E2611 |
Gen use back cush wdth <22in |
109 |
90 |
$2K |
| E0973 |
W/ch access det adj armrest |
282 |
108 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
107 |
89 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
3,025 |
1,579 |
$2K |
| A4604 |
Tubing with heating element |
373 |
260 |
$1K |
| A7013 |
Disposable compressor filter |
3,623 |
1,604 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
283 |
121 |
$1K |
| E0156 |
Walker seat attachment |
391 |
277 |
$897.10 |
| E0961 |
Wheelchair brake extension |
282 |
119 |
$687.18 |
| L3660 |
So 8 ab rstr can/web pre ots |
12 |
12 |
$438.00 |
| E0184 |
Dry pressure mattress |
14 |
13 |
$103.76 |