| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,090 |
7,232 |
$321K |
| E0431 |
Portable gaseous 02 |
5,787 |
5,241 |
$86K |
| E0601 |
Cont airway pressure device |
1,924 |
1,800 |
$71K |
| E0260 |
Hosp bed semi-electr w/ matt |
885 |
743 |
$28K |
| A7030 |
Cpap full face mask |
629 |
583 |
$26K |
| E0470 |
Rad w/o backup non-inv intfc |
435 |
387 |
$26K |
| E0570 |
Nebulizer with compression |
1,218 |
1,128 |
$25K |
| L3908 |
Who cock-up nonmolde pre ots |
707 |
642 |
$20K |
| L4350 |
Ankle control ortho pre ots |
398 |
386 |
$17K |
| E0562 |
Humidifier heated used w pap |
224 |
192 |
$17K |
| L3807 |
Whfo w/o joints pre cst |
172 |
149 |
$16K |
| E0114 |
Crutch underarm pair no wood |
913 |
884 |
$15K |
| K0001 |
Standard wheelchair |
835 |
714 |
$15K |
| L4360 |
Pneumat walking boot pre cst |
142 |
130 |
$14K |
| A7035 |
Pos airway press headgear |
917 |
843 |
$12K |
| A7037 |
Pos airway pressure tubing |
907 |
842 |
$9K |
| A7034 |
Nasal application device |
453 |
400 |
$9K |
| L3670 |
So acro/clav can web pre ots |
125 |
122 |
$6K |
| A7031 |
Replacement facemask interfa |
291 |
254 |
$4K |
| K0007 |
Extra heavy duty wheelchair |
46 |
36 |
$3K |
| A7005 |
Nondisposable nebulizer set |
273 |
252 |
$3K |
| A7038 |
Pos airway pressure filter |
1,417 |
1,281 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
64 |
53 |
$2K |
| A7039 |
Filter, non disposable w pap |
287 |
273 |
$1K |
| K0002 |
Stnd hemi (low seat) whlchr |
12 |
12 |
$823.50 |
| E1392 |
Portable oxygen concentrator |
51 |
49 |
$543.55 |
| A7003 |
Nebulizer administration set |
483 |
421 |
$384.44 |
| A7032 |
Replacement nasal cushion |
31 |
28 |
$338.96 |
| E0250 |
Hosp bed fixed ht w/ mattres |
16 |
12 |
$100.77 |