| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,119 |
1,725 |
$156K |
| E0114 |
Crutch underarm pair no wood |
2,056 |
1,856 |
$58K |
| E0601 |
Cont airway pressure device |
1,135 |
944 |
$56K |
| L4361 |
Pneuma/vac walk boot pre ots |
200 |
193 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,171 |
973 |
$21K |
| E0431 |
Portable gaseous 02 |
1,480 |
1,173 |
$20K |
| K0001 |
Standard wheelchair |
1,396 |
1,093 |
$17K |
| L3908 |
Who cock-up nonmolde pre ots |
647 |
612 |
$14K |
| L3650 |
So 8 abd restraint pre ots |
456 |
427 |
$13K |
| L3660 |
So 8 ab rstr can/web pre ots |
494 |
369 |
$13K |
| E0570 |
Nebulizer with compression |
420 |
306 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
398 |
329 |
$6K |
| L4350 |
Ankle control ortho pre ots |
190 |
171 |
$5K |
| L3260 |
Ambulatory surgical boot eac |
61 |
56 |
$2K |
| A7038 |
Pos airway pressure filter |
409 |
374 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
61 |
54 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
20 |
15 |
$901.30 |
| L3809 |
Whfo w/o joints pre ots |
13 |
13 |
$900.52 |
| E0149 |
Heavy duty wheeled walker |
19 |
12 |
$179.75 |
| K0195 |
Elevating whlchair leg rests |
167 |
106 |
$171.08 |
| A7003 |
Nebulizer administration set |
17 |
13 |
$29.10 |