| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,609 |
1,513 |
$111K |
| E0570 |
Nebulizer with compression |
1,541 |
1,493 |
$25K |
| L4361 |
Pneuma/vac walk boot pre ots |
154 |
146 |
$21K |
| E0603 |
Electric breast pump |
120 |
113 |
$19K |
| E0431 |
Portable gaseous 02 |
1,278 |
1,178 |
$17K |
| E0601 |
Cont airway pressure device |
279 |
265 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
81 |
77 |
$4K |
| A7005 |
Nondisposable nebulizer set |
146 |
137 |
$2K |
| A4604 |
Tubing with heating element |
56 |
56 |
$2K |
| A7031 |
Replacement facemask interfa |
26 |
24 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
27 |
27 |
$1K |
| A7038 |
Pos airway pressure filter |
99 |
92 |
$664.33 |
| T4541 |
Large disposable underpad |
27 |
26 |
$623.20 |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
13 |
$373.04 |
| A7035 |
Pos airway press headgear |
14 |
14 |
$208.80 |
| A7039 |
Filter, non disposable w pap |
14 |
14 |
$87.58 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$79.63 |
| A7013 |
Disposable compressor filter |
84 |
78 |
$36.40 |