| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,342 |
11,812 |
$394K |
| E0466 |
Home vent non-invasive inter |
494 |
381 |
$143K |
| E0570 |
Nebulizer with compression |
3,290 |
2,967 |
$134K |
| E0431 |
Portable gaseous 02 |
5,981 |
5,174 |
$67K |
| E0601 |
Cont airway pressure device |
2,029 |
1,673 |
$26K |
| K0003 |
Lightweight wheelchair |
747 |
652 |
$9K |
| A7038 |
Pos airway pressure filter |
1,421 |
1,145 |
$5K |
| A7031 |
Replacement facemask interfa |
279 |
217 |
$4K |
| A7004 |
Disposable nebulizer sml vol |
1,926 |
1,868 |
$4K |
| A7030 |
Cpap full face mask |
102 |
79 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
84 |
78 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
142 |
133 |
$1K |
| E0114 |
Crutch underarm pair no wood |
13 |
13 |
$605.33 |
| A7037 |
Pos airway pressure tubing |
119 |
84 |
$446.71 |
| A7035 |
Pos airway press headgear |
46 |
40 |
$311.27 |
| A7039 |
Filter, non disposable w pap |
63 |
54 |
$122.05 |
| A4565 |
Slings |
13 |
12 |
$47.56 |
| A5500 |
Diab shoe for density insert |
24 |
12 |
$6.90 |
| A5512 |
Multi den insert direct form |
24 |
12 |
$0.00 |