| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,410 |
13,342 |
$1.22M |
| E0601 |
Cont airway pressure device |
7,941 |
7,869 |
$425K |
| E0431 |
Portable gaseous 02 |
9,319 |
9,237 |
$182K |
| E0570 |
Nebulizer with compression |
4,137 |
4,047 |
$164K |
| E0470 |
Rad w/o backup non-inv intfc |
1,149 |
1,141 |
$147K |
| E0562 |
Humidifier heated used w pap |
1,478 |
1,468 |
$110K |
| A7030 |
Cpap full face mask |
1,332 |
1,311 |
$101K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,626 |
1,614 |
$70K |
| E0603 |
Electric breast pump |
585 |
584 |
$70K |
| K0003 |
Lightweight wheelchair |
1,215 |
1,213 |
$49K |
| E0143 |
Walker folding wheeled w/o s |
759 |
755 |
$41K |
| A7035 |
Pos airway press headgear |
1,835 |
1,809 |
$37K |
| A7037 |
Pos airway pressure tubing |
1,501 |
1,485 |
$36K |
| A7034 |
Nasal application device |
726 |
711 |
$33K |
| A7031 |
Replacement facemask interfa |
579 |
567 |
$18K |
| K0001 |
Standard wheelchair |
1,044 |
1,037 |
$17K |
| A7038 |
Pos airway pressure filter |
2,539 |
2,501 |
$17K |
| A7005 |
Nondisposable nebulizer set |
1,069 |
1,059 |
$17K |
| E0114 |
Crutch underarm pair no wood |
291 |
291 |
$8K |
| A4239 |
Non-adju cgm supply allow |
38 |
37 |
$7K |
| A7046 |
Repl water chamber, pap dev |
848 |
846 |
$6K |
| L3908 |
Who cock-up nonmolde pre ots |
76 |
65 |
$3K |
| K0195 |
Elevating whlchair leg rests |
376 |
375 |
$3K |
| E0149 |
Heavy duty wheeled walker |
185 |
185 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
160 |
113 |
$3K |
| A4253 |
Blood glucose/reagent strips |
171 |
168 |
$2K |
| L4361 |
Pneuma/vac walk boot pre ots |
12 |
12 |
$2K |
| E0630 |
Patient lift hydraulic |
38 |
38 |
$2K |
| E0973 |
W/ch access det adj armrest |
82 |
54 |
$2K |
| A7003 |
Nebulizer administration set |
1,139 |
1,118 |
$2K |
| E0156 |
Walker seat attachment |
175 |
175 |
$1K |
| A4604 |
Tubing with heating element |
161 |
161 |
$1K |
| E0561 |
Humidifier nonheated w pap |
44 |
44 |
$598.57 |
| A7013 |
Disposable compressor filter |
437 |
433 |
$146.02 |
| A4259 |
Lancets per box |
53 |
52 |
$70.44 |
| A7015 |
Aerosol mask used w nebulize |
53 |
51 |
$66.85 |