| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,897 |
6,852 |
$691K |
| A7030 |
Cpap full face mask |
2,313 |
2,068 |
$242K |
| E0601 |
Cont airway pressure device |
3,034 |
2,703 |
$224K |
| E0570 |
Nebulizer with compression |
3,658 |
3,401 |
$201K |
| A7031 |
Replacement facemask interfa |
2,847 |
2,564 |
$195K |
| K0738 |
Portable gas oxygen system |
4,031 |
3,536 |
$93K |
| L4386 |
Non-pneum walk boot pre cst |
607 |
592 |
$66K |
| L3908 |
Who cock-up nonmolde pre ots |
1,506 |
1,365 |
$59K |
| A7038 |
Pos airway pressure filter |
3,310 |
2,892 |
$54K |
| E0114 |
Crutch underarm pair no wood |
1,521 |
1,483 |
$54K |
| E0470 |
Rad w/o backup non-inv intfc |
339 |
308 |
$49K |
| B4035 |
Enteral feed supp pump per d |
363 |
228 |
$48K |
| A7035 |
Pos airway press headgear |
2,115 |
1,925 |
$48K |
| E0562 |
Humidifier heated used w pap |
225 |
218 |
$47K |
| A7034 |
Nasal application device |
934 |
867 |
$41K |
| A7032 |
Replacement nasal cushion |
832 |
763 |
$36K |
| E0431 |
Portable gaseous 02 |
2,017 |
1,820 |
$36K |
| A7005 |
Nondisposable nebulizer set |
1,291 |
1,256 |
$31K |
| K0001 |
Standard wheelchair |
1,125 |
993 |
$25K |
| E0143 |
Walker folding wheeled w/o s |
474 |
456 |
$25K |
| B9998 |
Enteral supp not otherwise c |
289 |
222 |
$21K |
| L4387 |
Non-pneum walk boot pre ots |
149 |
146 |
$18K |
| L3670 |
So acro/clav can web pre ots |
170 |
168 |
$16K |
| E0260 |
Hosp bed semi-electr w/ matt |
345 |
306 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,036 |
917 |
$12K |
| A7039 |
Filter, non disposable w pap |
1,371 |
1,224 |
$11K |
| A7037 |
Pos airway pressure tubing |
2,892 |
2,531 |
$8K |
| A4565 |
Slings |
731 |
716 |
$4K |
| L3809 |
Whfo w/o joints pre ots |
26 |
25 |
$3K |
| A6530 |
Compression stocking bk18-30 |
46 |
28 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
55 |
36 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
38 |
38 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
28 |
28 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
107 |
95 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
822 |
436 |
$1K |
| A4604 |
Tubing with heating element |
303 |
292 |
$824.52 |
| A7003 |
Nebulizer administration set |
112 |
111 |
$496.46 |
| E1392 |
Portable oxygen concentrator |
25 |
25 |
$25.53 |