| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,537 |
8,390 |
$637K |
| B4150 |
Ef complet w/intact nutrient |
4,084 |
4,024 |
$382K |
| E0601 |
Cont airway pressure device |
6,053 |
6,013 |
$285K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,772 |
2,756 |
$102K |
| E0431 |
Portable gaseous 02 |
5,721 |
5,680 |
$94K |
| E0570 |
Nebulizer with compression |
3,070 |
3,046 |
$93K |
| K0003 |
Lightweight wheelchair |
2,098 |
2,092 |
$70K |
| E0470 |
Rad w/o backup non-inv intfc |
548 |
546 |
$48K |
| A7030 |
Cpap full face mask |
690 |
681 |
$42K |
| A4239 |
Non-adju cgm supply allow |
242 |
242 |
$41K |
| E0562 |
Humidifier heated used w pap |
366 |
359 |
$32K |
| A6530 |
Compression stocking bk18-30 |
538 |
491 |
$27K |
| B4035 |
Enteral feed supp pump per d |
175 |
140 |
$21K |
| A7035 |
Pos airway press headgear |
1,131 |
1,113 |
$19K |
| A7037 |
Pos airway pressure tubing |
897 |
884 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
397 |
396 |
$18K |
| A4670 |
Automatic bp monitor, dial |
344 |
344 |
$17K |
| K0001 |
Standard wheelchair |
1,500 |
1,494 |
$16K |
| E0445 |
Oximeter non-invasive |
68 |
63 |
$16K |
| E0630 |
Patient lift hydraulic |
542 |
538 |
$15K |
| B4152 |
Ef calorie dense>/=1.5kcal |
139 |
129 |
$15K |
| A7005 |
Nondisposable nebulizer set |
853 |
844 |
$11K |
| A7038 |
Pos airway pressure filter |
1,503 |
1,442 |
$11K |
| E0471 |
Rad w/backup non inv intrfc |
39 |
39 |
$10K |
| A7034 |
Nasal application device |
226 |
224 |
$9K |
| A7031 |
Replacement facemask interfa |
163 |
153 |
$5K |
| K0195 |
Elevating whlchair leg rests |
802 |
779 |
$4K |
| E0156 |
Walker seat attachment |
304 |
303 |
$3K |
| K0004 |
High strength ltwt whlchr |
28 |
27 |
$3K |
| B4087 |
Gastro/jejuno tube, std |
78 |
52 |
$2K |
| A4253 |
Blood glucose/reagent strips |
38 |
37 |
$1K |
| A7046 |
Repl water chamber, pap dev |
173 |
170 |
$948.18 |
| E0149 |
Heavy duty wheeled walker |
24 |
24 |
$943.02 |
| A7003 |
Nebulizer administration set |
664 |
649 |
$672.81 |
| L3908 |
Who cock-up nonmolde pre ots |
14 |
13 |
$635.73 |
| E0971 |
Wheelchair anti-tipping devi |
39 |
26 |
$611.00 |
| E0776 |
Iv pole |
37 |
37 |
$229.31 |
| A4595 |
Tens suppl 2 lead per month |
13 |
13 |
$193.71 |
| A4520 |
Incontinence garment anytype |
14 |
13 |
$132.36 |
| A7013 |
Disposable compressor filter |
161 |
159 |
$78.05 |
| E0245 |
Tub stool or bench |
12 |
12 |
$67.00 |
| A4259 |
Lancets per box |
12 |
12 |
$29.56 |
| A7015 |
Aerosol mask used w nebulize |
26 |
26 |
$27.97 |