| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,866 |
2,638 |
$306K |
| E0601 |
Cont airway pressure device |
1,777 |
1,713 |
$110K |
| E0570 |
Nebulizer with compression |
1,188 |
1,158 |
$65K |
| L4361 |
Pneuma/vac walk boot pre ots |
434 |
420 |
$45K |
| E0562 |
Humidifier heated used w pap |
1,972 |
1,906 |
$44K |
| E0114 |
Crutch underarm pair no wood |
695 |
680 |
$22K |
| E0431 |
Portable gaseous 02 |
1,375 |
1,285 |
$21K |
| L3908 |
Who cock-up nonmolde pre ots |
636 |
601 |
$16K |
| A7030 |
Cpap full face mask |
43 |
43 |
$4K |
| A7035 |
Pos airway press headgear |
179 |
174 |
$4K |
| L3650 |
So 8 abd restraint pre ots |
109 |
107 |
$4K |
| A7038 |
Pos airway pressure filter |
396 |
376 |
$2K |
| E1392 |
Portable oxygen concentrator |
71 |
66 |
$2K |
| E0443 |
Portable 02 contents, gas |
24 |
24 |
$2K |
| A4604 |
Tubing with heating element |
50 |
50 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
12 |
12 |
$2K |
| K0001 |
Standard wheelchair |
62 |
62 |
$1K |
| A7005 |
Nondisposable nebulizer set |
30 |
24 |
$593.17 |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$312.10 |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$300.69 |