| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,690 |
3,648 |
$265K |
| E0601 |
Cont airway pressure device |
3,267 |
3,259 |
$171K |
| E0570 |
Nebulizer with compression |
2,860 |
2,853 |
$131K |
| E0431 |
Portable gaseous 02 |
3,101 |
3,092 |
$45K |
| A7030 |
Cpap full face mask |
686 |
683 |
$41K |
| E0562 |
Humidifier heated used w pap |
3,226 |
3,216 |
$40K |
| L3908 |
Who cock-up nonmolde pre ots |
893 |
741 |
$36K |
| L4361 |
Pneuma/vac walk boot pre ots |
190 |
188 |
$27K |
| B4150 |
Ef complet w/intact nutrient |
105 |
88 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
606 |
603 |
$17K |
| A7038 |
Pos airway pressure filter |
1,135 |
1,131 |
$16K |
| K0001 |
Standard wheelchair |
903 |
872 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,051 |
1,045 |
$15K |
| E0114 |
Crutch underarm pair no wood |
514 |
512 |
$15K |
| A7035 |
Pos airway press headgear |
872 |
862 |
$14K |
| E0603 |
Electric breast pump |
122 |
122 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
128 |
128 |
$11K |
| E0730 |
Tens four lead |
342 |
342 |
$10K |
| L3660 |
So 8 ab rstr can/web pre ots |
164 |
164 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
167 |
166 |
$9K |
| K0553 |
Ther cgm supply allowance |
72 |
69 |
$8K |
| A7034 |
Nasal application device |
181 |
180 |
$7K |
| L1820 |
Ko elas w/ condyle pads & jo |
71 |
70 |
$6K |
| A7031 |
Replacement facemask interfa |
163 |
162 |
$5K |
| L4350 |
Ankle control ortho pre ots |
84 |
84 |
$5K |
| L1902 |
Afo ankle gauntlet pre ots |
102 |
98 |
$5K |
| E0630 |
Patient lift hydraulic |
160 |
159 |
$4K |
| A7005 |
Nondisposable nebulizer set |
273 |
273 |
$4K |
| L3809 |
Whfo w/o joints pre ots |
13 |
12 |
$2K |
| A4253 |
Blood glucose/reagent strips |
75 |
74 |
$2K |
| A7046 |
Repl water chamber, pap dev |
178 |
178 |
$1K |
| K0195 |
Elevating whlchair leg rests |
152 |
145 |
$943.28 |
| E0149 |
Heavy duty wheeled walker |
37 |
37 |
$748.63 |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$367.07 |
| E0156 |
Walker seat attachment |
68 |
68 |
$304.88 |
| L3260 |
Ambulatory surgical boot eac |
12 |
12 |
$239.61 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$112.75 |
| A4259 |
Lancets per box |
29 |
29 |
$88.09 |
| E0181 |
Press pad alternating w/ pum |
12 |
12 |
$87.10 |
| A7015 |
Aerosol mask used w nebulize |
37 |
37 |
$45.21 |