| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,082 |
14,603 |
$759K |
| E0601 |
Cont airway pressure device |
9,143 |
8,838 |
$449K |
| A7030 |
Cpap full face mask |
3,955 |
3,810 |
$238K |
| E0470 |
Rad w/o backup non-inv intfc |
2,012 |
1,956 |
$218K |
| E0562 |
Humidifier heated used w pap |
2,102 |
2,031 |
$188K |
| L4360 |
Pneumat walking boot pre cst |
1,050 |
1,019 |
$158K |
| E0570 |
Nebulizer with compression |
5,487 |
5,337 |
$144K |
| L4350 |
Ankle control ortho pre ots |
2,829 |
2,739 |
$143K |
| L3908 |
Who cock-up nonmolde pre ots |
3,672 |
3,196 |
$122K |
| K0738 |
Portable gas oxygen system |
5,927 |
5,720 |
$122K |
| E0114 |
Crutch underarm pair no wood |
4,871 |
4,720 |
$97K |
| L3807 |
Whfo w/o joints pre cst |
725 |
684 |
$93K |
| L4361 |
Pneuma/vac walk boot pre ots |
808 |
762 |
$90K |
| A4604 |
Tubing with heating element |
3,618 |
3,489 |
$84K |
| L1830 |
Ko immob canvas long pre ots |
1,692 |
1,635 |
$72K |
| A7035 |
Pos airway press headgear |
3,606 |
3,482 |
$66K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,829 |
1,752 |
$65K |
| K0001 |
Standard wheelchair |
1,946 |
1,888 |
$48K |
| E1392 |
Portable oxygen concentrator |
2,952 |
2,846 |
$45K |
| A7034 |
Nasal application device |
1,225 |
1,181 |
$41K |
| E0603 |
Electric breast pump |
240 |
225 |
$40K |
| E0143 |
Walker folding wheeled w/o s |
1,364 |
1,305 |
$39K |
| A7005 |
Nondisposable nebulizer set |
2,059 |
1,998 |
$29K |
| A7031 |
Replacement facemask interfa |
1,359 |
1,320 |
$22K |
| A7038 |
Pos airway pressure filter |
6,155 |
5,825 |
$16K |
| A7037 |
Pos airway pressure tubing |
811 |
787 |
$14K |
| E0431 |
Portable gaseous 02 |
561 |
549 |
$12K |
| L1902 |
Afo ankle gauntlet pre ots |
258 |
230 |
$10K |
| A7039 |
Filter, non disposable w pap |
724 |
698 |
$6K |
| A7032 |
Replacement nasal cushion |
217 |
208 |
$4K |
| K0003 |
Lightweight wheelchair |
113 |
111 |
$3K |
| A7033 |
Replacement nasal pillows |
32 |
32 |
$929.88 |
| L2795 |
Knee control full kneecap |
15 |
13 |
$712.22 |
| L3924 |
Hfo without joints pre ots |
13 |
12 |
$707.40 |