| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,385 |
1,215 |
$152K |
| E0601 |
Cont airway pressure device |
1,249 |
1,238 |
$73K |
| L4361 |
Pneuma/vac walk boot pre ots |
337 |
335 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,268 |
1,260 |
$25K |
| E0570 |
Nebulizer with compression |
491 |
491 |
$21K |
| E0114 |
Crutch underarm pair no wood |
555 |
544 |
$17K |
| A7030 |
Cpap full face mask |
155 |
153 |
$17K |
| E1392 |
Portable oxygen concentrator |
335 |
297 |
$8K |
| L3650 |
So 8 abd restraint pre ots |
190 |
187 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
139 |
139 |
$6K |
| A4604 |
Tubing with heating element |
169 |
166 |
$6K |
| L3809 |
Whfo w/o joints pre ots |
58 |
58 |
$6K |
| E0431 |
Portable gaseous 02 |
268 |
255 |
$6K |
| K0001 |
Standard wheelchair |
181 |
179 |
$6K |
| A7035 |
Pos airway press headgear |
188 |
185 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
51 |
50 |
$3K |
| K0738 |
Portable gas oxygen system |
91 |
73 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
79 |
79 |
$3K |
| L3670 |
So acro/clav can web pre ots |
103 |
102 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
90 |
90 |
$2K |
| A7005 |
Nondisposable nebulizer set |
108 |
108 |
$2K |
| A7038 |
Pos airway pressure filter |
192 |
187 |
$1K |
| A7046 |
Repl water chamber, pap dev |
14 |
14 |
$189.52 |