| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,194 |
15,745 |
$756K |
| E0601 |
Cont airway pressure device |
9,718 |
8,260 |
$328K |
| E0466 |
Home vent non-invasive inter |
1,373 |
988 |
$152K |
| E0470 |
Rad w/o backup non-inv intfc |
1,389 |
1,219 |
$120K |
| E0431 |
Portable gaseous 02 |
10,016 |
7,956 |
$69K |
| E0570 |
Nebulizer with compression |
5,577 |
4,327 |
$28K |
| E0562 |
Humidifier heated used w pap |
5,661 |
4,959 |
$26K |
| E1392 |
Portable oxygen concentrator |
4,029 |
3,217 |
$17K |
| K0001 |
Standard wheelchair |
844 |
727 |
$12K |
| L3660 |
So 8 ab rstr can/web pre ots |
439 |
398 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
534 |
382 |
$8K |
| E0114 |
Crutch underarm pair no wood |
529 |
487 |
$6K |
| A7030 |
Cpap full face mask |
2,673 |
2,089 |
$5K |
| E0465 |
Home vent invasive interface |
16 |
12 |
$4K |
| A7031 |
Replacement facemask interfa |
3,200 |
2,524 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
102 |
92 |
$3K |
| A7038 |
Pos airway pressure filter |
5,978 |
4,758 |
$3K |
| A7032 |
Replacement nasal cushion |
1,024 |
822 |
$2K |
| A7035 |
Pos airway press headgear |
2,553 |
1,998 |
$2K |
| A4604 |
Tubing with heating element |
3,997 |
3,128 |
$2K |
| L4350 |
Ankle control ortho pre ots |
63 |
59 |
$2K |
| A7033 |
Replacement nasal pillows |
800 |
663 |
$1K |
| A7034 |
Nasal application device |
2,094 |
1,664 |
$1K |
| A7046 |
Repl water chamber, pap dev |
1,597 |
1,262 |
$1K |
| L4361 |
Pneuma/vac walk boot pre ots |
12 |
12 |
$1K |
| L3809 |
Whfo w/o joints pre ots |
12 |
12 |
$817.88 |
| A7005 |
Nondisposable nebulizer set |
130 |
111 |
$794.57 |
| L3908 |
Who cock-up nonmolde pre ots |
73 |
61 |
$749.30 |
| L1830 |
Ko immob canvas long pre ots |
29 |
27 |
$726.95 |
| A7037 |
Pos airway pressure tubing |
257 |
203 |
$458.11 |
| E0600 |
Suction pump portab hom modl |
39 |
37 |
$390.23 |
| K0738 |
Portable gas oxygen system |
93 |
81 |
$71.12 |
| A7039 |
Filter, non disposable w pap |
227 |
169 |
$15.67 |
| L3260 |
Ambulatory surgical boot eac |
12 |
12 |
$0.00 |