| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,108 |
14,151 |
$923K |
| E0431 |
Portable gaseous 02 |
11,764 |
11,143 |
$326K |
| E0601 |
Cont airway pressure device |
4,301 |
4,032 |
$240K |
| E0603 |
Electric breast pump |
1,121 |
1,096 |
$198K |
| L4350 |
Ankle control ortho pre ots |
1,753 |
1,674 |
$96K |
| E0562 |
Humidifier heated used w pap |
1,469 |
1,358 |
$90K |
| L3908 |
Who cock-up nonmolde pre ots |
2,255 |
2,116 |
$88K |
| E0114 |
Crutch underarm pair no wood |
3,742 |
3,618 |
$81K |
| E0470 |
Rad w/o backup non-inv intfc |
741 |
672 |
$72K |
| A7030 |
Cpap full face mask |
959 |
897 |
$69K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,890 |
1,679 |
$60K |
| K0001 |
Standard wheelchair |
1,982 |
1,838 |
$46K |
| E0570 |
Nebulizer with compression |
1,537 |
1,467 |
$42K |
| A7035 |
Pos airway press headgear |
1,596 |
1,490 |
$37K |
| A7037 |
Pos airway pressure tubing |
1,278 |
1,197 |
$25K |
| E0143 |
Walker folding wheeled w/o s |
643 |
610 |
$23K |
| L3670 |
So acro/clav can web pre ots |
258 |
249 |
$15K |
| L3660 |
So 8 ab rstr can/web pre ots |
338 |
308 |
$7K |
| L1830 |
Ko immob canvas long pre ots |
149 |
143 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
80 |
78 |
$6K |
| A7038 |
Pos airway pressure filter |
2,010 |
1,729 |
$4K |
| E0990 |
Wheelchair elevating leg res |
634 |
390 |
$4K |
| A7034 |
Nasal application device |
84 |
78 |
$3K |
| A7031 |
Replacement facemask interfa |
118 |
113 |
$3K |
| E0604 |
Hosp grade elec breast pump |
56 |
50 |
$2K |
| A4604 |
Tubing with heating element |
55 |
51 |
$1K |
| A7003 |
Nebulizer administration set |
276 |
248 |
$627.71 |
| A7046 |
Repl water chamber, pap dev |
63 |
63 |
$374.20 |
| E1392 |
Portable oxygen concentrator |
26 |
25 |
$324.83 |
| E0971 |
Wheelchair anti-tipping devi |
96 |
51 |
$309.79 |
| L4361 |
Pneuma/vac walk boot pre ots |
27 |
26 |
$298.61 |
| L3260 |
Ambulatory surgical boot eac |
187 |
163 |
$124.20 |