| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,064 |
22,587 |
$1.28M |
| E0601 |
Cont airway pressure device |
7,750 |
6,922 |
$441K |
| E0562 |
Humidifier heated used w pap |
5,495 |
4,565 |
$339K |
| A7030 |
Cpap full face mask |
2,366 |
2,012 |
$187K |
| E1392 |
Portable oxygen concentrator |
8,076 |
6,803 |
$176K |
| E0470 |
Rad w/o backup non-inv intfc |
1,251 |
1,092 |
$157K |
| E0431 |
Portable gaseous 02 |
14,203 |
12,349 |
$152K |
| A4604 |
Tubing with heating element |
4,445 |
3,751 |
$116K |
| A7031 |
Replacement facemask interfa |
3,842 |
2,940 |
$101K |
| E0424 |
Stationary compressed gas 02 |
1,215 |
1,175 |
$100K |
| A7034 |
Nasal application device |
1,893 |
1,596 |
$82K |
| A7035 |
Pos airway press headgear |
4,345 |
3,689 |
$68K |
| L4387 |
Non-pneum walk boot pre ots |
604 |
560 |
$59K |
| E0570 |
Nebulizer with compression |
4,982 |
4,400 |
$36K |
| E0143 |
Walker folding wheeled w/o s |
1,055 |
918 |
$32K |
| A7032 |
Replacement nasal cushion |
1,928 |
1,472 |
$30K |
| L3908 |
Who cock-up nonmolde pre ots |
1,014 |
887 |
$29K |
| A7038 |
Pos airway pressure filter |
6,571 |
5,116 |
$22K |
| A7046 |
Repl water chamber, pap dev |
2,517 |
2,075 |
$22K |
| E0466 |
Home vent non-invasive inter |
33 |
24 |
$14K |
| K0001 |
Standard wheelchair |
1,550 |
1,287 |
$14K |
| L1833 |
Ko adj jnt pos r sup pre ots |
26 |
25 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
197 |
165 |
$4K |
| A7033 |
Replacement nasal pillows |
263 |
211 |
$4K |
| A7005 |
Nondisposable nebulizer set |
60 |
51 |
$722.52 |
| L1902 |
Afo ankle gauntlet pre ots |
13 |
13 |
$538.53 |
| E0156 |
Walker seat attachment |
14 |
12 |
$107.01 |
| K0195 |
Elevating whlchair leg rests |
15 |
12 |
$67.22 |
| A4467 |
Belt strap sleev grmnt cover |
14 |
13 |
$0.00 |