| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,794 |
2,656 |
$332K |
| E0601 |
Cont airway pressure device |
2,836 |
2,638 |
$195K |
| E0570 |
Nebulizer with compression |
1,932 |
1,797 |
$101K |
| A7030 |
Cpap full face mask |
778 |
739 |
$89K |
| L3908 |
Who cock-up nonmolde pre ots |
2,206 |
1,930 |
$84K |
| E0562 |
Humidifier heated used w pap |
1,114 |
1,031 |
$76K |
| E0114 |
Crutch underarm pair no wood |
1,432 |
1,395 |
$52K |
| L4387 |
Non-pneum walk boot pre ots |
305 |
292 |
$37K |
| E0431 |
Portable gaseous 02 |
1,560 |
1,516 |
$35K |
| A7035 |
Pos airway press headgear |
1,248 |
1,185 |
$32K |
| A7034 |
Nasal application device |
512 |
489 |
$28K |
| A7038 |
Pos airway pressure filter |
2,188 |
2,104 |
$15K |
| L4361 |
Pneuma/vac walk boot pre ots |
55 |
54 |
$11K |
| L4350 |
Ankle control ortho pre ots |
163 |
157 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
67 |
60 |
$8K |
| S5161 |
Emer rspns sys serv permonth |
309 |
292 |
$7K |
| A7037 |
Pos airway pressure tubing |
1,870 |
1,793 |
$6K |
| A7003 |
Nebulizer administration set |
1,382 |
1,345 |
$6K |
| A4565 |
Slings |
676 |
646 |
$4K |
| A7031 |
Replacement facemask interfa |
99 |
94 |
$4K |
| L1830 |
Ko immob canvas long pre ots |
39 |
38 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
45 |
39 |
$2K |
| L4386 |
Non-pneum walk boot pre cst |
12 |
12 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
977 |
958 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
15 |
13 |
$198.55 |