| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,210 |
13,108 |
$1.02M |
| E0601 |
Cont airway pressure device |
6,922 |
6,904 |
$397K |
| A7030 |
Cpap full face mask |
3,429 |
3,420 |
$198K |
| E0570 |
Nebulizer with compression |
4,331 |
4,320 |
$192K |
| E0431 |
Portable gaseous 02 |
10,074 |
9,996 |
$159K |
| L4361 |
Pneuma/vac walk boot pre ots |
901 |
881 |
$145K |
| E0470 |
Rad w/o backup non-inv intfc |
1,052 |
1,049 |
$117K |
| E0603 |
Electric breast pump |
817 |
809 |
$108K |
| L3908 |
Who cock-up nonmolde pre ots |
1,957 |
1,821 |
$88K |
| E0143 |
Walker folding wheeled w/o s |
1,197 |
1,181 |
$63K |
| E0562 |
Humidifier heated used w pap |
5,582 |
5,572 |
$57K |
| A7037 |
Pos airway pressure tubing |
3,551 |
3,540 |
$48K |
| K0003 |
Lightweight wheelchair |
1,477 |
1,466 |
$48K |
| A7035 |
Pos airway press headgear |
2,726 |
2,717 |
$46K |
| E0114 |
Crutch underarm pair no wood |
1,307 |
1,287 |
$39K |
| B4150 |
Ef complet w/intact nutrient |
230 |
207 |
$23K |
| A7031 |
Replacement facemask interfa |
923 |
922 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
302 |
301 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,807 |
1,799 |
$9K |
| A6530 |
Compression stocking bk18-30 |
255 |
241 |
$9K |
| A7038 |
Pos airway pressure filter |
2,495 |
2,489 |
$8K |
| A4253 |
Blood glucose/reagent strips |
955 |
935 |
$8K |
| A7003 |
Nebulizer administration set |
3,287 |
3,276 |
$6K |
| A4595 |
Tens suppl 2 lead per month |
181 |
179 |
$3K |
| L1812 |
Ko elastic w/joints pre ots |
44 |
36 |
$2K |
| A4670 |
Automatic bp monitor, dial |
31 |
31 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
39 |
37 |
$2K |
| E1392 |
Portable oxygen concentrator |
127 |
127 |
$1K |
| A7039 |
Filter, non disposable w pap |
752 |
751 |
$982.82 |
| A7034 |
Nasal application device |
28 |
27 |
$972.63 |
| E0156 |
Walker seat attachment |
88 |
87 |
$607.61 |
| A4259 |
Lancets per box |
176 |
174 |
$207.41 |
| A5120 |
Skin barrier, wipe or swab |
13 |
13 |
$55.86 |
| A7015 |
Aerosol mask used w nebulize |
39 |
37 |
$47.85 |