| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,046 |
1,837 |
$158K |
| E0601 |
Cont airway pressure device |
1,818 |
1,597 |
$88K |
| E0562 |
Humidifier heated used w pap |
895 |
750 |
$43K |
| A7030 |
Cpap full face mask |
342 |
307 |
$33K |
| E0431 |
Portable gaseous 02 |
1,034 |
952 |
$18K |
| L4361 |
Pneuma/vac walk boot pre ots |
151 |
135 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
262 |
210 |
$13K |
| K0001 |
Standard wheelchair |
514 |
441 |
$12K |
| A7035 |
Pos airway press headgear |
543 |
471 |
$11K |
| A4604 |
Tubing with heating element |
373 |
334 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
356 |
226 |
$10K |
| E0570 |
Nebulizer with compression |
138 |
106 |
$9K |
| K0738 |
Portable gas oxygen system |
493 |
410 |
$8K |
| E0114 |
Crutch underarm pair no wood |
220 |
200 |
$7K |
| A7038 |
Pos airway pressure filter |
650 |
582 |
$3K |
| L3650 |
So 8 abd restraint pre ots |
63 |
58 |
$2K |
| A4670 |
Automatic bp monitor, dial |
28 |
25 |
$1K |
| A7034 |
Nasal application device |
13 |
13 |
$894.58 |
| A4385 |
Ost skn barrier sld ext wear |
15 |
13 |
$818.59 |
| E0135 |
Walker folding adjust/fixed |
18 |
13 |
$745.85 |
| A7031 |
Replacement facemask interfa |
16 |
15 |
$687.44 |
| A7003 |
Nebulizer administration set |
186 |
148 |
$603.66 |
| L3908 |
Who cock-up nonmolde pre ots |
17 |
14 |
$414.26 |
| A7046 |
Repl water chamber, pap dev |
26 |
25 |
$237.94 |
| A7015 |
Aerosol mask used w nebulize |
78 |
56 |
$82.00 |