| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,311 |
6,091 |
$404K |
| L4360 |
Pneumat walking boot pre cst |
510 |
427 |
$94K |
| E0431 |
Portable gaseous 02 |
5,619 |
3,884 |
$36K |
| L3908 |
Who cock-up nonmolde pre ots |
865 |
694 |
$32K |
| E0260 |
Hosp bed semi-electr w/ matt |
969 |
701 |
$24K |
| K0001 |
Standard wheelchair |
1,692 |
1,292 |
$21K |
| E0143 |
Walker folding wheeled w/o s |
720 |
541 |
$20K |
| L3807 |
Whfo w/o joints pre cst |
124 |
112 |
$20K |
| E0570 |
Nebulizer with compression |
673 |
588 |
$19K |
| L3660 |
So 8 ab rstr can/web pre ots |
332 |
276 |
$19K |
| E0114 |
Crutch underarm pair no wood |
427 |
391 |
$14K |
| K0003 |
Lightweight wheelchair |
638 |
415 |
$11K |
| E0601 |
Cont airway pressure device |
268 |
228 |
$10K |
| E0163 |
Commode chair with fixed arm |
260 |
193 |
$9K |
| L3670 |
So acro/clav can web pre ots |
52 |
38 |
$3K |
| E0973 |
W/ch access det adj armrest |
584 |
206 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
834 |
317 |
$2K |
| K0195 |
Elevating whlchair leg rests |
107 |
102 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
29 |
25 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
14 |
14 |
$968.36 |
| A7005 |
Nondisposable nebulizer set |
38 |
38 |
$643.14 |
| A4604 |
Tubing with heating element |
17 |
16 |
$605.47 |
| E2201 |
Man w/ch acc seat w>=20"<24" |
20 |
12 |
$485.51 |
| E0156 |
Walker seat attachment |
52 |
43 |
$439.84 |
| E0951 |
Loop heel |
472 |
187 |
$406.61 |
| E0961 |
Wheelchair brake extension |
185 |
67 |
$339.60 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$253.07 |
| A7038 |
Pos airway pressure filter |
61 |
57 |
$249.93 |
| E0978 |
W/c acc,saf belt pelv strap |
165 |
118 |
$243.55 |