| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,669 |
10,951 |
$528K |
| E0601 |
Cont airway pressure device |
6,369 |
6,021 |
$335K |
| E0470 |
Rad w/o backup non-inv intfc |
1,662 |
1,552 |
$197K |
| E0562 |
Humidifier heated used w pap |
3,825 |
3,534 |
$154K |
| K0738 |
Portable gas oxygen system |
6,687 |
6,251 |
$148K |
| A7030 |
Cpap full face mask |
2,520 |
2,355 |
$140K |
| E0570 |
Nebulizer with compression |
4,594 |
4,330 |
$125K |
| K0001 |
Standard wheelchair |
2,874 |
2,673 |
$86K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,039 |
1,937 |
$85K |
| A4604 |
Tubing with heating element |
2,902 |
2,708 |
$77K |
| A7035 |
Pos airway press headgear |
2,962 |
2,775 |
$56K |
| L4360 |
Pneumat walking boot pre cst |
315 |
299 |
$47K |
| E0143 |
Walker folding wheeled w/o s |
1,092 |
1,030 |
$34K |
| K0003 |
Lightweight wheelchair |
703 |
662 |
$32K |
| E1392 |
Portable oxygen concentrator |
1,950 |
1,805 |
$31K |
| A7034 |
Nasal application device |
619 |
586 |
$21K |
| A7031 |
Replacement facemask interfa |
913 |
831 |
$19K |
| A7005 |
Nondisposable nebulizer set |
1,218 |
1,149 |
$18K |
| E0603 |
Electric breast pump |
76 |
75 |
$15K |
| A7038 |
Pos airway pressure filter |
5,048 |
4,657 |
$11K |
| E0471 |
Rad w/backup non inv intrfc |
52 |
48 |
$10K |
| E0431 |
Portable gaseous 02 |
459 |
438 |
$8K |
| A7003 |
Nebulizer administration set |
1,007 |
955 |
$3K |
| E0149 |
Heavy duty wheeled walker |
91 |
89 |
$2K |
| E0990 |
Wheelchair elevating leg res |
168 |
147 |
$2K |
| A7037 |
Pos airway pressure tubing |
131 |
126 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
49 |
37 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,147 |
1,090 |
$2K |
| E0951 |
Loop heel |
1,581 |
759 |
$901.30 |
| A7032 |
Replacement nasal cushion |
54 |
52 |
$505.09 |
| A7046 |
Repl water chamber, pap dev |
267 |
238 |
$464.29 |
| A7013 |
Disposable compressor filter |
365 |
342 |
$62.43 |
| K0195 |
Elevating whlchair leg rests |
12 |
12 |
$37.18 |