| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
3,431 |
3,430 |
$410K |
| E1390 |
Oxygen concentrator |
4,418 |
4,393 |
$315K |
| E0143 |
Walker folding wheeled w/o s |
2,738 |
2,701 |
$150K |
| E0570 |
Nebulizer with compression |
2,747 |
2,740 |
$82K |
| E0431 |
Portable gaseous 02 |
4,169 |
4,141 |
$62K |
| E0601 |
Cont airway pressure device |
929 |
927 |
$41K |
| K0001 |
Standard wheelchair |
1,823 |
1,812 |
$40K |
| E0730 |
Tens four lead |
1,028 |
1,027 |
$28K |
| E0260 |
Hosp bed semi-electr w/ matt |
656 |
636 |
$21K |
| L3908 |
Who cock-up nonmolde pre ots |
373 |
297 |
$15K |
| E0562 |
Humidifier heated used w pap |
1,108 |
1,105 |
$15K |
| E0114 |
Crutch underarm pair no wood |
436 |
436 |
$13K |
| A4253 |
Blood glucose/reagent strips |
301 |
298 |
$8K |
| E0156 |
Walker seat attachment |
916 |
893 |
$7K |
| E0149 |
Heavy duty wheeled walker |
115 |
114 |
$3K |
| E0600 |
Suction pump portab hom modl |
97 |
97 |
$2K |
| A7005 |
Nondisposable nebulizer set |
83 |
83 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
105 |
105 |
$1K |
| L1902 |
Afo ankle gauntlet pre ots |
16 |
16 |
$773.51 |
| E0565 |
Compressor air power source |
25 |
24 |
$657.97 |
| L1830 |
Ko immob canvas long pre ots |
12 |
12 |
$646.38 |
| E0250 |
Hosp bed fixed ht w/ mattres |
12 |
12 |
$517.91 |
| A4259 |
Lancets per box |
142 |
140 |
$498.10 |
| A7037 |
Pos airway pressure tubing |
26 |
25 |
$299.50 |
| A7038 |
Pos airway pressure filter |
27 |
26 |
$281.60 |
| L3260 |
Ambulatory surgical boot eac |
12 |
12 |
$246.95 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$12.18 |