| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,060 |
3,510 |
$102K |
| E0431 |
Portable gaseous 02 |
2,843 |
2,528 |
$42K |
| L3660 |
So 8 ab rstr can/web pre ots |
848 |
762 |
$40K |
| B4035 |
Enteral feed supp pump per d |
1,307 |
1,016 |
$34K |
| L4361 |
Pneuma/vac walk boot pre ots |
327 |
297 |
$29K |
| E0143 |
Walker folding wheeled w/o s |
685 |
577 |
$27K |
| B4152 |
Ef calorie dense>/=1.5kcal |
865 |
631 |
$26K |
| B4150 |
Ef complet w/intact nutrient |
407 |
307 |
$9K |
| K0001 |
Standard wheelchair |
1,066 |
862 |
$8K |
| B4154 |
Ef spec metabolic noninherit |
84 |
50 |
$4K |
| B4034 |
Enter feed supkit syr by day |
188 |
146 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
56 |
53 |
$967.24 |
| E0260 |
Hosp bed semi-electr w/ matt |
54 |
51 |
$817.34 |
| B9002 |
Enter nutr inf pump any type |
62 |
52 |
$791.29 |
| E0603 |
Electric breast pump |
27 |
27 |
$746.70 |
| K0195 |
Elevating whlchair leg rests |
45 |
37 |
$245.21 |