| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,673 |
8,008 |
$857K |
| E0601 |
Cont airway pressure device |
4,401 |
4,186 |
$251K |
| E0443 |
Portable 02 contents, gas |
2,128 |
1,874 |
$151K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,288 |
1,227 |
$134K |
| E0570 |
Nebulizer with compression |
3,194 |
3,117 |
$123K |
| A7030 |
Cpap full face mask |
1,081 |
1,044 |
$112K |
| E0562 |
Humidifier heated used w pap |
4,671 |
4,421 |
$96K |
| E0431 |
Portable gaseous 02 |
5,282 |
4,899 |
$88K |
| E0114 |
Crutch underarm pair no wood |
1,893 |
1,838 |
$61K |
| A7035 |
Pos airway press headgear |
1,518 |
1,460 |
$35K |
| L3809 |
Whfo w/o joints pre ots |
341 |
332 |
$35K |
| A4604 |
Tubing with heating element |
894 |
855 |
$31K |
| K0001 |
Standard wheelchair |
632 |
607 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
216 |
215 |
$16K |
| E1392 |
Portable oxygen concentrator |
838 |
820 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
351 |
349 |
$14K |
| A7038 |
Pos airway pressure filter |
2,027 |
1,945 |
$10K |
| A7037 |
Pos airway pressure tubing |
466 |
449 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
47 |
38 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
253 |
242 |
$6K |
| A7034 |
Nasal application device |
82 |
81 |
$5K |
| A7046 |
Repl water chamber, pap dev |
353 |
328 |
$5K |
| A7005 |
Nondisposable nebulizer set |
304 |
296 |
$5K |
| L3984 |
Upper ext fx orthosis wrist |
12 |
12 |
$3K |
| A7031 |
Replacement facemask interfa |
110 |
108 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
13 |
13 |
$2K |
| L3650 |
So 8 abd restraint pre ots |
26 |
26 |
$803.55 |
| L1830 |
Ko immob canvas long pre ots |
28 |
27 |
$754.71 |
| L1902 |
Afo ankle gauntlet pre ots |
13 |
13 |
$377.67 |
| E0156 |
Walker seat attachment |
14 |
13 |
$138.29 |