| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,528 |
17,763 |
$1.01M |
| E0570 |
Nebulizer with compression |
4,967 |
4,528 |
$192K |
| E0431 |
Portable gaseous 02 |
9,318 |
8,248 |
$172K |
| E0601 |
Cont airway pressure device |
3,220 |
2,786 |
$78K |
| E0430 |
Oxygen system gas portable |
1,251 |
925 |
$48K |
| L1833 |
Ko adj jnt pos r sup pre ots |
125 |
76 |
$42K |
| L0648 |
Lso sag r an/pos pnl pre ots |
54 |
49 |
$39K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
22 |
16 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
546 |
499 |
$14K |
| A7030 |
Cpap full face mask |
235 |
191 |
$9K |
| L2810 |
Knee control condylar pad |
127 |
75 |
$8K |
| E0443 |
Portable 02 contents, gas |
391 |
329 |
$6K |
| E0240 |
Bath/shower chair |
17 |
15 |
$6K |
| A7037 |
Pos airway pressure tubing |
439 |
392 |
$4K |
| A7038 |
Pos airway pressure filter |
670 |
574 |
$3K |
| A7031 |
Replacement facemask interfa |
178 |
139 |
$2K |
| K0001 |
Standard wheelchair |
327 |
303 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
32 |
24 |
$853.39 |
| A7035 |
Pos airway press headgear |
74 |
65 |
$762.92 |
| A7039 |
Filter, non disposable w pap |
28 |
27 |
$31.33 |
| A7046 |
Repl water chamber, pap dev |
14 |
13 |
$22.35 |