| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,007 |
3,333 |
$327K |
| E0601 |
Cont airway pressure device |
1,207 |
1,017 |
$90K |
| E0570 |
Nebulizer with compression |
1,768 |
1,601 |
$86K |
| A7031 |
Replacement facemask interfa |
941 |
765 |
$57K |
| A7030 |
Cpap full face mask |
623 |
521 |
$54K |
| K0738 |
Portable gas oxygen system |
1,682 |
1,464 |
$37K |
| E0470 |
Rad w/o backup non-inv intfc |
280 |
233 |
$30K |
| L3908 |
Who cock-up nonmolde pre ots |
644 |
582 |
$24K |
| E0114 |
Crutch underarm pair no wood |
574 |
550 |
$19K |
| L3670 |
So acro/clav can web pre ots |
188 |
181 |
$16K |
| A7038 |
Pos airway pressure filter |
975 |
802 |
$14K |
| A7005 |
Nondisposable nebulizer set |
594 |
562 |
$14K |
| L4386 |
Non-pneum walk boot pre cst |
131 |
126 |
$13K |
| E0431 |
Portable gaseous 02 |
613 |
539 |
$13K |
| A7034 |
Nasal application device |
293 |
253 |
$13K |
| A7035 |
Pos airway press headgear |
600 |
514 |
$12K |
| A7032 |
Replacement nasal cushion |
215 |
172 |
$11K |
| A7039 |
Filter, non disposable w pap |
555 |
473 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
74 |
62 |
$3K |
| K0003 |
Lightweight wheelchair |
67 |
50 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
57 |
55 |
$3K |
| A7037 |
Pos airway pressure tubing |
914 |
773 |
$2K |
| E1392 |
Portable oxygen concentrator |
368 |
313 |
$2K |
| E0562 |
Humidifier heated used w pap |
14 |
12 |
$1K |
| A4565 |
Slings |
192 |
175 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
17 |
12 |
$846.24 |
| A6530 |
Compression stocking bk18-30 |
14 |
13 |
$789.62 |
| L1902 |
Afo ankle gauntlet pre ots |
13 |
12 |
$662.26 |
| A7046 |
Repl water chamber, pap dev |
51 |
40 |
$598.25 |
| L0172 |
Cerv col sr foam 2pc pre ots |
13 |
12 |
$446.44 |
| L3260 |
Ambulatory surgical boot eac |
13 |
13 |
$216.10 |