| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,613 |
10,832 |
$410K |
| E0601 |
Cont airway pressure device |
5,437 |
4,695 |
$261K |
| L4361 |
Pneuma/vac walk boot pre ots |
2,532 |
1,962 |
$233K |
| E0114 |
Crutch underarm pair no wood |
10,284 |
8,369 |
$141K |
| L3809 |
Whfo w/o joints pre ots |
1,824 |
1,396 |
$126K |
| L3660 |
So 8 ab rstr can/web pre ots |
4,813 |
3,785 |
$124K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,152 |
4,857 |
$111K |
| L1830 |
Ko immob canvas long pre ots |
2,966 |
2,356 |
$96K |
| L4350 |
Ankle control ortho pre ots |
2,007 |
1,635 |
$78K |
| K0001 |
Standard wheelchair |
11,282 |
8,049 |
$68K |
| E0431 |
Portable gaseous 02 |
8,146 |
6,487 |
$49K |
| E0562 |
Humidifier heated used w pap |
2,477 |
2,253 |
$46K |
| E0143 |
Walker folding wheeled w/o s |
2,818 |
2,236 |
$42K |
| E0570 |
Nebulizer with compression |
4,492 |
3,655 |
$25K |
| E1392 |
Portable oxygen concentrator |
3,701 |
2,916 |
$23K |
| L3908 |
Who cock-up nonmolde pre ots |
1,658 |
1,331 |
$22K |
| E0163 |
Commode chair with fixed arm |
1,139 |
836 |
$16K |
| E0630 |
Patient lift hydraulic |
2,232 |
1,510 |
$14K |
| K0003 |
Lightweight wheelchair |
1,277 |
920 |
$11K |
| A7038 |
Pos airway pressure filter |
2,244 |
1,890 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
88 |
87 |
$8K |
| K0006 |
Heavy duty wheelchair |
625 |
458 |
$6K |
| K0195 |
Elevating whlchair leg rests |
3,730 |
2,798 |
$4K |
| A7030 |
Cpap full face mask |
525 |
465 |
$4K |
| E1031 |
Rollabout chair with casters |
695 |
514 |
$3K |
| A7034 |
Nasal application device |
819 |
676 |
$3K |
| A7031 |
Replacement facemask interfa |
425 |
375 |
$2K |
| E0600 |
Suction pump portab hom modl |
311 |
241 |
$2K |
| A7035 |
Pos airway press headgear |
1,065 |
894 |
$1K |
| A4604 |
Tubing with heating element |
1,422 |
1,138 |
$858.43 |
| A7046 |
Repl water chamber, pap dev |
451 |
370 |
$857.79 |
| L0150 |
Cerv semi-rig adj molded chn |
30 |
26 |
$795.19 |
| A7037 |
Pos airway pressure tubing |
138 |
133 |
$676.86 |
| A7005 |
Nondisposable nebulizer set |
30 |
26 |
$307.22 |
| E0149 |
Heavy duty wheeled walker |
67 |
58 |
$298.69 |
| E0165 |
Commode chair with detacharm |
68 |
49 |
$253.93 |
| E0156 |
Walker seat attachment |
274 |
247 |
$162.10 |
| A7039 |
Filter, non disposable w pap |
223 |
174 |
$154.96 |
| A7032 |
Replacement nasal cushion |
295 |
229 |
$145.86 |
| A7033 |
Replacement nasal pillows |
29 |
24 |
$111.74 |
| E0265 |
Hosp bed total electr w/ mat |
24 |
12 |
$53.21 |
| A7003 |
Nebulizer administration set |
55 |
53 |
$21.66 |
| A7015 |
Aerosol mask used w nebulize |
41 |
39 |
$6.66 |