| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,588 |
3,105 |
$72K |
| L3660 |
So 8 ab rstr can/web pre ots |
621 |
569 |
$20K |
| E0114 |
Crutch underarm pair no wood |
934 |
831 |
$19K |
| E0570 |
Nebulizer with compression |
1,659 |
1,460 |
$14K |
| E0431 |
Portable gaseous 02 |
2,406 |
2,132 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
863 |
717 |
$7K |
| K0001 |
Standard wheelchair |
1,347 |
1,116 |
$5K |
| L4350 |
Ankle control ortho pre ots |
114 |
98 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
105 |
86 |
$2K |
| E0601 |
Cont airway pressure device |
105 |
82 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
17 |
12 |
$473.21 |
| L3260 |
Ambulatory surgical boot eac |
13 |
12 |
$200.89 |
| A7003 |
Nebulizer administration set |
130 |
107 |
$157.05 |
| A7037 |
Pos airway pressure tubing |
14 |
12 |
$76.22 |
| E0562 |
Humidifier heated used w pap |
28 |
25 |
$67.95 |