| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
8,368 |
6,683 |
$384K |
| E0601 |
Cont airway pressure device |
6,274 |
5,722 |
$205K |
| E1390 |
Oxygen concentrator |
2,855 |
2,439 |
$185K |
| A7030 |
Cpap full face mask |
2,414 |
2,089 |
$171K |
| A7031 |
Replacement facemask interfa |
4,132 |
3,570 |
$125K |
| A4604 |
Tubing with heating element |
3,153 |
3,009 |
$105K |
| A7032 |
Replacement nasal cushion |
2,501 |
2,345 |
$89K |
| A7034 |
Nasal application device |
1,828 |
1,735 |
$88K |
| E0562 |
Humidifier heated used w pap |
5,594 |
5,190 |
$59K |
| L3660 |
So 8 ab rstr can/web pre ots |
910 |
856 |
$54K |
| E0114 |
Crutch underarm pair no wood |
2,024 |
1,930 |
$52K |
| A7035 |
Pos airway press headgear |
3,265 |
2,889 |
$48K |
| L1830 |
Ko immob canvas long pre ots |
799 |
741 |
$41K |
| L3670 |
So acro/clav can web pre ots |
530 |
504 |
$39K |
| E0143 |
Walker folding wheeled w/o s |
930 |
881 |
$38K |
| A7038 |
Pos airway pressure filter |
12,329 |
11,080 |
$38K |
| A7037 |
Pos airway pressure tubing |
2,565 |
2,274 |
$37K |
| A7005 |
Nondisposable nebulizer set |
3,957 |
3,198 |
$36K |
| A7033 |
Replacement nasal pillows |
1,195 |
1,109 |
$34K |
| E0431 |
Portable gaseous 02 |
2,021 |
1,810 |
$26K |
| K0001 |
Standard wheelchair |
704 |
609 |
$19K |
| L4350 |
Ankle control ortho pre ots |
332 |
313 |
$18K |
| A7046 |
Repl water chamber, pap dev |
2,016 |
1,772 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
182 |
171 |
$14K |
| L3908 |
Who cock-up nonmolde pre ots |
406 |
361 |
$14K |
| A7039 |
Filter, non disposable w pap |
1,780 |
1,565 |
$11K |
| L4361 |
Pneuma/vac walk boot pre ots |
63 |
59 |
$8K |
| A7003 |
Nebulizer administration set |
3,578 |
2,879 |
$4K |
| L3260 |
Ambulatory surgical boot eac |
359 |
335 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
3,025 |
2,597 |
$2K |
| E0443 |
Portable 02 contents, gas |
123 |
61 |
$2K |
| L3809 |
Whfo w/o joints pre ots |
12 |
12 |
$2K |
| A7013 |
Disposable compressor filter |
524 |
388 |
$125.43 |