| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
73,775 |
57,565 |
$1.39M |
| A7031 |
Replacement facemask interfa |
84,035 |
64,821 |
$1.25M |
| A7034 |
Nasal application device |
60,614 |
47,896 |
$744K |
| A7032 |
Replacement nasal cushion |
42,553 |
33,006 |
$714K |
| A4604 |
Tubing with heating element |
78,132 |
61,719 |
$697K |
| A7038 |
Pos airway pressure filter |
148,675 |
114,903 |
$440K |
| E0601 |
Cont airway pressure device |
31,379 |
24,722 |
$381K |
| A7033 |
Replacement nasal pillows |
24,728 |
19,382 |
$369K |
| A7035 |
Pos airway press headgear |
70,520 |
55,437 |
$363K |
| A7037 |
Pos airway pressure tubing |
52,339 |
41,005 |
$189K |
| A7046 |
Repl water chamber, pap dev |
57,277 |
45,223 |
$187K |
| E0562 |
Humidifier heated used w pap |
3,463 |
2,693 |
$124K |
| E1390 |
Oxygen concentrator |
4,981 |
3,571 |
$112K |
| E0470 |
Rad w/o backup non-inv intfc |
4,269 |
3,356 |
$81K |
| L4361 |
Pneuma/vac walk boot pre ots |
949 |
833 |
$72K |
| E0114 |
Crutch underarm pair no wood |
4,054 |
3,391 |
$66K |
| A7039 |
Filter, non disposable w pap |
30,390 |
23,845 |
$58K |
| L3809 |
Whfo w/o joints pre ots |
621 |
497 |
$46K |
| L1830 |
Ko immob canvas long pre ots |
1,286 |
964 |
$32K |
| L3908 |
Who cock-up nonmolde pre ots |
1,583 |
1,224 |
$31K |
| B4035 |
Enteral feed supp pump per d |
616 |
220 |
$28K |
| L4350 |
Ankle control ortho pre ots |
1,085 |
809 |
$28K |
| L3670 |
So acro/clav can web pre ots |
478 |
404 |
$20K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,699 |
1,415 |
$17K |
| E1392 |
Portable oxygen concentrator |
2,383 |
1,643 |
$15K |
| L3675 |
So vest canvas/web pre ots |
274 |
227 |
$14K |
| A7036 |
Pos airway press chinstrap |
4,159 |
3,284 |
$10K |
| E0143 |
Walker folding wheeled w/o s |
263 |
216 |
$8K |
| K0738 |
Portable gas oxygen system |
1,128 |
812 |
$8K |
| L3260 |
Ambulatory surgical boot eac |
634 |
520 |
$7K |
| E0570 |
Nebulizer with compression |
778 |
547 |
$5K |
| L4360 |
Pneumat walking boot pre cst |
57 |
50 |
$5K |
| K0195 |
Elevating whlchair leg rests |
464 |
365 |
$4K |
| K0001 |
Standard wheelchair |
99 |
93 |
$3K |
| E0471 |
Rad w/backup non inv intrfc |
224 |
129 |
$3K |
| L3808 |
Whfo, rigid w/o joints |
33 |
26 |
$3K |
| E0603 |
Electric breast pump |
15 |
13 |
$2K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
61 |
44 |
$2K |
| L3674 |
So airplane w/wo joint cf |
56 |
53 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
377 |
257 |
$2K |
| B9002 |
Enter nutr inf pump any type |
106 |
87 |
$2K |
| K0003 |
Lightweight wheelchair |
394 |
203 |
$2K |
| B4152 |
Ef calorie dense>/=1.5kcal |
56 |
29 |
$1K |
| E0163 |
Commode chair with fixed arm |
114 |
92 |
$1K |
| L3257 |
Orth foot add charge split s |
116 |
87 |
$811.43 |
| L1820 |
Ko elas w/ condyle pads & jo |
34 |
26 |
$763.96 |
| E0431 |
Portable gaseous 02 |
100 |
75 |
$628.38 |
| L1812 |
Ko elastic w/joints pre ots |
14 |
13 |
$535.28 |
| A4565 |
Slings |
204 |
177 |
$475.36 |
| B9998 |
Enteral supp not otherwise c |
65 |
27 |
$260.31 |
| L3211 |
Surgical boot each junior |
15 |
15 |
$116.76 |