| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
32,811 |
26,705 |
$914K |
| E0466 |
Home vent non-invasive inter |
3,644 |
3,113 |
$816K |
| E0601 |
Cont airway pressure device |
7,112 |
6,082 |
$202K |
| A7030 |
Cpap full face mask |
3,562 |
3,000 |
$161K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,032 |
812 |
$134K |
| E0431 |
Portable gaseous 02 |
21,734 |
17,557 |
$120K |
| E0470 |
Rad w/o backup non-inv intfc |
1,754 |
1,389 |
$96K |
| E0562 |
Humidifier heated used w pap |
1,299 |
1,057 |
$90K |
| A7034 |
Nasal application device |
2,703 |
2,213 |
$83K |
| E0570 |
Nebulizer with compression |
7,002 |
6,114 |
$74K |
| A7031 |
Replacement facemask interfa |
3,092 |
2,488 |
$64K |
| A4604 |
Tubing with heating element |
2,419 |
2,005 |
$46K |
| A7035 |
Pos airway press headgear |
4,333 |
3,545 |
$42K |
| A7032 |
Replacement nasal cushion |
1,609 |
1,256 |
$36K |
| L3908 |
Who cock-up nonmolde pre ots |
1,099 |
850 |
$36K |
| A7037 |
Pos airway pressure tubing |
3,567 |
2,996 |
$30K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,256 |
1,013 |
$23K |
| A7038 |
Pos airway pressure filter |
7,517 |
5,951 |
$22K |
| E0114 |
Crutch underarm pair no wood |
529 |
422 |
$19K |
| E1392 |
Portable oxygen concentrator |
2,717 |
2,266 |
$18K |
| A7005 |
Nondisposable nebulizer set |
1,299 |
1,061 |
$13K |
| E0143 |
Walker folding wheeled w/o s |
557 |
429 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,568 |
1,313 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,853 |
1,555 |
$7K |
| L3809 |
Whfo w/o joints pre ots |
41 |
37 |
$6K |
| E0250 |
Hosp bed fixed ht w/ mattres |
604 |
461 |
$5K |
| L4360 |
Pneumat walking boot pre cst |
68 |
54 |
$4K |
| L1902 |
Afo ankle gauntlet pre ots |
65 |
54 |
$3K |
| K0001 |
Standard wheelchair |
1,611 |
996 |
$3K |
| L3670 |
So acro/clav can web pre ots |
48 |
39 |
$3K |
| A7033 |
Replacement nasal pillows |
196 |
151 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
32 |
27 |
$3K |
| L1812 |
Ko elastic w/joints pre ots |
37 |
27 |
$2K |
| E0973 |
W/ch access det adj armrest |
1,572 |
498 |
$1K |
| E1083 |
Hemi-wheelchair fixed arms |
41 |
37 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
1,380 |
433 |
$807.92 |
| E1130 |
Whlchr stand fxd arm ft rest |
77 |
72 |
$659.54 |
| E0961 |
Wheelchair brake extension |
1,211 |
378 |
$345.21 |
| E0951 |
Loop heel |
1,519 |
475 |
$324.62 |
| A7003 |
Nebulizer administration set |
1,202 |
969 |
$295.30 |
| E0149 |
Heavy duty wheeled walker |
17 |
12 |
$248.82 |
| E0978 |
W/c acc,saf belt pelv strap |
455 |
282 |
$216.30 |